Mr. Specter. Will you describe it in detail, the procedures which were followed in the efforts to save the President's life?

Dr. Perry. All right. Well, to regress, then, at the time I began the tracheotomy, I made an incision right through the wound which was present in the neck in order to gain complete control of any injury in the underlying trachea.

I made a transverse incision right through this wound and carried it down to the superficial fascia, to expose the strap muscles overlying the thyroid and the trachea. There was an injury to the right lateral aspect of the trachea at the level of the external wound. The trachea was deviated slightly to the left and it was necessary to divide the strap muscles on the left side in order to gain access to the trachea. At this point, I recall, Dr. Jones right on my left was placing a catheter into a vein in the left arm because he handed me a necessary instrument which I needed in the performance of the procedure.

The wound in the trachea was then enlarged to admit a cuffed tracheotomy tube to support respiration. I noted that there was free air and blood in the superior right mediastinum.

Although I saw no injury to the lung or to the pleural space, the presence of this free blood and air in this area could be indicative of a wound of the right hemithorax, and I asked that someone put a right chest tube in for seal drainage. At the time I did not know who did this, but I have been informed that Dr. Baxter and Dr. Paul Peters inserted the chest tube and connected it to underwater drainage.

Blood transfusions and fluid transfusions were being given at this time, and through the previous venesections that had been done by Dr. Jones and Dr. Carrico.

Also, the President had received 300 mg. of Solucortef in order to support his adrenal glands, since it was common medical knowledge that he suffered from adrenal insufficiency.

Of course, oxygen and pressure breathing were being effected under the guidance of Dr. Jenkins and Dr. Giesecke, who were handling the anesthesia machine at the head of the table.

Dr. Bashour and Dr. Seldin, in addition to Dr. Clark, had arrived and also assisted in monitoring cardiac actions, as indicated by the oscilloscope and the cardiotachioscope.

Mr. Specter. Have you now described all of the operative procedures performed on the President?