I hurried to Ford's Theatre, where I had been told President Lincoln, General Grant, and Members of the Cabinet were to be present to see the play, "Our American Cousin." I arrived late at the theatre, 8.15 p. m., and requested a seat in the
orchestra, whence I could view the occupants of the President's box, which on looking into the theatre, I saw had been beautifully decorated with American flags in honor of the occasion. As the building was crowded the last place vacant was in the dress circle. I was greatly disappointed, but accepted this seat, which was near the front on the same side and about 40 feet from the President's box, and soon became interested in the pleasing play.
Suddenly there was a cheering welcome, the acting ceased temporarily out of respect to the entering Presidential party. Many in the audience rose to their feet in enthusiasm and vociferously cheered, while looking around. Turning, I saw in the aisle a few feet behind me, President Lincoln, Mrs. Lincoln, Major Rathbone and Miss Harris. Mrs. Lincoln smiled very happily in acknowledgment of the loyal greeting, gracefully curtsied several times and seemed to be overflowing with good cheer and thankfulness. I had the best opportunity to distinctly see the full face of the President, as the light shone directly upon him. After he had walked a few feet he stopped for a moment, looked upon the people he loved and acknowledged their salutations with a solemn bow. His face was perfectly stoical, his deep set eyes gave him a pathetically sad appearance. The audience seemed to be enthusiastically cheerful, but he alone looked peculiarly sorrowful, as he slowly walked with bowed head and drooping shoulders toward the box. I was looking at him as he took his last walk. The memory of that scene has never been effaced. The party was preceded by a special usher, who opened the door of the box, stood to one side, and after all had entered closed the door and took a seat outside, where he could guard the entrance to the box. The play was resumed and my attention was concentrated on the stage until I heard a disturbance at the door of the President's box. With many others I looked in that direction, and saw a man endeavoring to persuade the reluctant usher to admit him. At last he succeeded in gaining an entrance, after which the door was closed and the usher resumed his place.
For a few moments all was quiet, and the play again held my attention until, suddenly, the report of a pistol was heard, and a short time after I saw a man in mid-air leaping from the President's box to the stage, brandishing in his hand a drawn dagger. His spur caught in the American flag festooned in front of the box, causing him to stumble when he struck the stage, and he fell on his hands and knees. He quickly regained the erect posture and hopped across the stage, flourishing his dagger, clearing the stage before him and dragging the foot of the leg, which was subsequently found to be broken, he disappeared [Pg 4]behind the scene on the opposite side of the stage. Then followed cries that the President had been murdered, interspersed with cries of "Kill the murderer!" "Shoot him!" etc., from different parts of the building. The lights had been turned down, a general gloom was over all, and the panic-stricken audience were rushing toward the doors for exit and safety.
I instantly arose and in response to cries for help and for a surgeon, I crossed the aisle and vaulted over the seats in a direct line to the President's box, forcing my way through the excited crowd. The door of the box had been securely fastened on the inside to prevent anyone following the assassin before he had accomplished his cruel object and made his escape. The obstruction was with difficulty removed and I was the first to be admitted to the box.
The usher having been told that I was an army surgeon, had lifted up his arm and had permitted me alone to enter.
I passed in, not in the slightest degree knowing what I had to encounter. At this moment, while in self-communion, the military command: "Halt!" came to me, and in obedience to it I stood still in the box, having a full view of the four other occupants. Then came the advice: "Be calm!" and with the calmest deliberation and force of will I brought all my senses to their greatest activity and walked forward to my duty.
Major Rathbone had bravely fought the assassin; his arm had been severely wounded and was bleeding. He came to me holding his wounded arm in the hand of the other, beseeching me to attend to his wound. I placed my hand under his chin, looking into his eyes an almost instantaneous glance revealed the fact that he was in no immediate danger, and in response to appeals from Mrs. Lincoln and Miss Harris, who were standing by the high-backed armchair in which President Lincoln sat, I went immediately to their assistance, saying I was a United States army surgeon. I grasped Mrs. Lincoln's outstretched hand in mine, while she cried piteously to me, "Oh, Doctor! Is he dead? Can he recover? Will you take charge of him? Do what you can for him. Oh, my dear husband!" etc., etc. I soothingly answered that we would do all that possibly could be done. While approaching the President, I asked a gentleman, who was at the door of the box, to procure some brandy and another to get some water.
As I looked at the President, he appeared to be dead. His eyes were closed and his head had fallen forward. He was being held upright in his chair by Mrs. Lincoln, who was weeping bitterly. From [Pg 5]his crouched down sitting posture it was evident that Mrs. Lincoln had instantly sprung to his aid after he had been wounded and had kept him from tumbling to the floor. By Mrs. Lincoln's courage, strength and energy the President was maintained in this upright position during all the time that elapsed while Major Rathbone had bravely fought the assassin and removed the obstruction from the door of the box.
I placed my finger on the President's right radial pulse but could perceive no movement of the artery. For the purpose of reviving him, if possible, we removed him from his chair to a recumbent position on the floor of the box, and as I held his head and shoulders while doing this, my hand came in contact with a clot of blood near his left shoulder. Remembering the flashing dagger in the hand of the assassin, and the severely bleeding wound of Major Rathbone, I supposed the President had been stabbed, and while kneeling on the floor over his head, with my eyes continuously watching the President's face, I asked a gentleman to cut the coat and shirt open from the neck to the elbow to enable me, if possible, to check the hemorrhage that I thought might take place from the subclavian artery or some other blood vessel. This was done with a dirk knife, but no wound was found there. I lifted his eyelids and saw evidence of a brain injury. I quickly passed the separated fingers of both hands through his blood matted hair to examine his head, and I discovered his mortal wound. The President had been shot in the back part of the head, behind the left ear. I easily removed the obstructing clot of blood from the wound, and this relieved the pressure on the brain.
The assassin of President Lincoln had evidently carefully planned to shoot to produce instant death, as the wound he made was situated within two inches of the physiological point of selection, when instant death is desired. A Derringer pistol had been used, which had sent a large round ball on its awful mission through one of the thickest, hardest parts of the skull and into the brain. The history of surgery fails to record a recovery from such a fearful wound and I have never seen or heard of any other person with such a wound, and injury to the sinus of the brain and to the brain itself, who lived even for an hour.
As the President did not then revive, I thought of the other mode of death, apnoea, and assumed my preferred position to revive by artificial respiration. I knelt on the floor over the President, with a knee on each side of his pelvis and facing him. I leaned forward, opened his mouth and introduced two extended fingers of my right hand as far back as possible, and by pressing the base of his paralyzed [Pg 6]tongue downward and outward, opened his larynx and made a free passage for air to enter the lungs. I placed an assistant at each of his arms to manipulate them in order to expand his thorax, then slowly to press the arms down by the side of the body, while I pressed the diaphragm upward: methods which caused air to be drawn in and forced out of his lungs.
During the intermissions I also with the strong thumb and fingers of my right hand by intermittent sliding pressure under and beneath the ribs, stimulated the apex of the heart, and resorted to several other physiological methods. We repeated these motions a number of times before signs of recovery from the profound shock were attained; then a feeble action of the heart and irregular breathing followed.
The effects of the shock were still manifest by such great prostration, that I was fearful of any extra agitation of the President's body, and became convinced that something more must be done to retain life. I leaned forcibly forward directly over his body, thorax to thorax, face to face, and several times drew in a long breath, then forcibly breathed directly into his mouth and nostrils, which expanded his lungs and improved his respirations. After waiting a moment I placed my ear over his thorax and found the action of the heart improving. I arose to the erect kneeling posture, then watched for a short time, and saw that the President could continue independent breathing and that instant death would not occur.
I then pronounced my diagnosis and prognosis: "His wound is mortal; it is impossible for him to recover." This message was telegraphed all over the country.
When the brandy and water arrived, I very slowly poured a small quantity into the President's mouth, this was swallowed and retained.
Many looked on during these earnest efforts to revive the President, but not once did any one suggest a word or in any way interfere with my actions. Mrs. Lincoln had thrown the burden on me and sat nearby looking on.
In the dimly lighted box of the theatre, so beautifully decorated with American flags, a scene of historic importance was being enacted. On the carpeted floor lay prostrate the President of the United States. His long, outstretched, athletic body of six feet four inches appeared unusually heroic. His bleeding head rested on my white linen handkerchief. His clothing was arranged as nicely as possible. He was irregularly breathing, his heart was feebly beating, his face was pale and in solemn repose, his eyelids were closed, his countenance made
him appear to be in prayerful communion with the Universal God he always loved. I looked down upon him and waited for the next inspiration, which soon came: "Remove to safety." From the time Mrs. Lincoln had placed the President in my charge, I had not permitted my attention to be diverted. Again I was asked the nature of his wound and replied in these exact words: "His wound is mortal; it is impossible for him to recover."
While I was kneeling over the President on the floor Dr. Charles S. Taft and Dr. Albert F. A. King had come and offered to render any assistance. I expressed the desire to have the President taken, as soon as he had gained sufficient strength, to the nearest house on the opposite side of the street. I was asked by several if he could not be taken to the White House, but I responded that if that were attempted the President would die long before we reached there. While we were waiting for Mr. Lincoln to gain strength Laura Keene, who had been taking part in the play, appealed to me to allow her to hold the President's head. I granted this request and she sat on the floor of the box and held his head on her lap.
