Concluding that a bullet passed through the President’s neck, the doctors at Bethesda Naval Hospital rejected a theory that the bullet lodged in the large muscles in the back of his neck and fell out through the point of entry when external heart massage was applied at Parkland Hospital. In the earlier stages of the autopsy, the surgeons were unable to find a path into any large muscle in the back of the neck. At that time they did not know that there had been a bullet hole in the front of the President’s neck when he arrived at Parkland Hospital because the tracheotomy incision had completely eliminated that evidence.[C3-169] While the autopsy was being performed, surgeons learned that a whole bullet had been found at Parkland Hospital on a stretcher which, at that time, was thought to be the stretcher occupied by the President. This led to speculation that the bullet might have penetrated a short distance into the back of the neck and then dropped out onto the stretcher as a result of the external heart massage.[C3-170]
Further exploration during the autopsy disproved that theory. The surgeons determined that the bullet had passed between two large strap muscles and bruised them without leaving any channel, since the bullet merely passed between them.[C3-171] Commander Humes, who believed that a tracheotomy had been performed from his observations at the autopsy, talked by telephone with Dr. Perry early on the morning of November 23, and learned that his assumption was correct and that Dr. Perry had used the missile wound in the neck as the point to make the incision.[C3-172] This confirmed the Bethesda surgeons’ conclusion that the bullet had exited from the front part of the neck.
The findings of the doctors who conducted the autopsy were consistent with the observations of the doctors who treated the President at Parkland Hospital. Dr. Charles S. Carrico, a resident surgeon at Parkland, noted a small wound approximately one-fourth of an inch in diameter (5 to 8 millimeters) in the lower third of the neck below the Adam’s apple.[C3-173] Dr. Malcolm O. Perry, who performed the tracheotomy, described the wound as approximately one-fifth of an inch in diameter (5 millimeters) and exuding blood which partially hid edges that were “neither cleancut, that is, punched out, nor were they very ragged.”[C3-174] Dr. Carrico testified as follows: