Guest Posted November 14, 2018 Share Posted November 14, 2018 I truly don't care enough about the tracheotomy issue to even pretend to be knowledgeable, but this is from an article on Jim D's own site, https://kennedysandking.com/john-f-kennedy-articles/ricochet-of-a-lie-and-kennedy-s-throat-wound. It does at least suggest that my assumption about the Parkland incision is not completely misguided. How do emergency room doctors respond to a penetrating wound in the neck, regardless of whether the patient has wounds elsewhere in the body? Doctors must quickly find and repair any life-threatening damage that has been done—and that means creating a fairly wide incision, one large enough to visualize the carotid arteries, for example. (These arteries are not in the middle of the throat; they are off to either side of the neck.) From Perry’s and Humes’s descriptions, it sounds like Kennedy had a “collar incision,” similar to the one shown below from the Journal of Trauma 1978; 18 (1) : 2-77 (see the Addendum at the end of this article for more extensive documentation). In Kennedy’s case, it was already clear that he was having trouble breathing, and one doctor placed an endotracheal tube which proved to be inadequate. So when Perry arrived, he performed a tracheotomy. And, he said, he “made an incision right through this wound which was present in the neck.”9 But that was not all that Perry did. He made an incision large enough to allow him to inspect the carotid arteries, the mediastinum, and other structures. “Once the transverse incision through the skin and subcutaneous tissues was made, it was necessary to separate the strap muscles covering the anterior muscles of the windpipe and thyroid. At that point, the trachea was noted to be deviated slightly to the left and I found it necessary to sever the exterior strap muscles on the other side to reach the trachea.”10 (His testimony on another day is similar.11) “I also made it big enough that I could look to either side of the trachea ... I didn’t know whether I was going to encounter carotid arteries or whatever. But the path of the bullet clearly put those vessels at risk as well as the trachea, so I made the wound big enough to do that ... How big it [the incision] was, I don’t know ... . I made it big enough to control an underlying bleeding blood vessel if necessary.”12 Link to comment Share on other sites More sharing options...
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