Mr. Specter.

Dr. JONES. Nelson.

Mr. Specter.

Was anyone else present then, other than those whom you have already mentioned at the time you arrived?
Dr. JONES. There were three nurses there--Mrs. Nelson, Miss Henchliffe and Miss Bowron.

Mr. Specter.

And were any other doctors present when you arrived?

Dr. JONES. Dr. Carrico was the only doctor other than possibly Dr. Dulany, and I do know Dr. Carrico was there when I arrived.

Mr. Specter.

Was Dr. Don Curtis there when you arrived?
Dr. JONES. I didn't see him.

Mr. Specter.

And who arrived with you, if you recall?
Dr. JONES. Dr. Perry.

Mr. SPECTER. And what did you observe the President's condition to be upon your arrival?
Dr. JONES. He appeared to be terminal, if not already expired, and Dr. Carrico said that he had seen some attempted respirations, agonal respirations, and with that history, we went ahead with emergency measures to try to restore the airway.

Mr. Specter.

When you say "attempted agonal respiration," do you mean an effort by the President?
Dr. JONES. Yes.

Mr. Specter.

Or, an effort by someone else to induce respiration?

Dr. JONES. No, these apparently were as Dr. Carrico saw the President was attempting to respire on his own, however, I did not personally see this in the brief seconds that I stood there before I went ahead and started work.

Mr. Specter.

What is the lay definition for agonal respiration ?
Dr. JONES. These are the respirations that are somewhat of a strain, that is, seen in a patient who is expiring--just very short, irregular type respirations.
Mr. SPECTER. Would you continue now to describe what you observed to be the President's condition?
Dr. JONES. We felt that he was in extreme shock, merely by the fact that there was no motion, that he was somewhat cyanotic, his eyes were--appeared to be fixed; there was no evidence of motion of the eyes; and we noticed that he did not have a satisfactory airway or was not breathing on his own in a satisfactory way to sustain life so that we felt that either an endotracheal tube had to be instituted immediately, which was done by Dr. Carrico. We felt that this was not adequate and since tracheotomy equipment was in the room, we felt that he would profit more by tracheotomy and that we could be certain that he was getting adequate oxygen.
Mr. SPECTER. What was done with respect to applying oxygen to the President then ?
Dr. JONES. Well, a tracheotomy was done, and then an adapter was fitted to this tube, and we had an anesthesia machine there by this time with Dr. Jenkins available so that he could give him straight oxygen from the machine.
Mr. SPECTER. Did you observe anything else with respect to the President's condition at that time?
Dr. JONES. You mean as far as wounds--that he had?

Mr. Specter.

Did you observe any wounds ?
Dr. JONES. As we saw him the first time, we noticed that he had a small wound at the midline of the neck, just above the superasternal notch, and this was probably no greater than a quarter of an inch in greatest diameter, and that he had a large wound in the right posterior side of the head.

Mr. Specter.

When you say "we noticed," whom do you mean by that?

Dr. JONES. Well, Dr. Perry and I were the two that were there at this time observing.
Mr. SPECTER. Did Dr. Perry make any comment about the nature of the wound at that time? Either wound?
Dr. JONES. Not that I recall.
Mr. SPECTER. Will you describe as precisely as you can the nature of the head wound ?
Dr. JONES. There was large defect in the back side of the head as the President lay on the cart with what appeared to be some brain hanging out of this