Lindsay Clancy Trial: Doctors Detail the Injuries That Never Should Have Happened

**Tony Brueski** (0:00)
This is live courtroom coverage of the trial of Lindsay Clancy from the Hitting Killers podcast in True Crime Today. Now, back to the courtroom.

**Michael Snyder** (0:12)
All right.

**Tony Brueski** (0:13)
Good morning, Doc.

**Michael Snyder** (0:13)
Good morning.

**Tony Brueski** (0:15)
All right.

**SPEAKER_3** (0:16)
May I inquire?

**Andrew Capraro** (0:17)
Tony Buckham, please.

**SPEAKER_3** (0:18)
Thank you. Good morning, sir.
Could you please tell the jurors your first and last name?

**Michael Snyder** (0:22)
Michael Snyder.

**SPEAKER_3** (0:24)
Do you mind spelling your last name for the record, please?

**Michael Snyder** (0:26)
S-N-Y-D-E-R.

**SPEAKER_3** (0:28)
And how are you employed?

**Michael Snyder** (0:30)
I'm a physician at Beth Israel.

**SPEAKER_3** (0:33)
And how long have you been a physician?

**Michael Snyder** (0:36)
Since 1998

**SPEAKER_3** (0:38)
Can you tell us a little bit about your educational background?

**Michael Snyder** (0:41)
So undergrad at UMass Amherst, I did medical school at Tufts University, and then I did my residency in emergency medicine at Boston University.

**SPEAKER_3** (0:51)
And how long have you worked at Beth Israel?

**Michael Snyder** (0:55)
Since 2014, 12 years.

**SPEAKER_3** (0:59)
And do you primarily work in the emergency department?

**Michael Snyder** (1:02)
Yes.

**SPEAKER_3** (1:03)
I'm going to draw your attention to January 24th of the year 2023 Do you recall working in the emergency department on that day?

**Michael Snyder** (1:09)
Yes.

**SPEAKER_3** (1:10)
And in the evening, were you made aware of multiple pediatric traumas that were coming into the emergency department?

**Michael Snyder** (1:17)
Yes.

**SPEAKER_3** (1:18)
And when you are made aware of things, people coming in, how does that occur?

**Michael Snyder** (1:25)
So we'll typically get a call on the EMS phone that something's coming in that they want us to know about up front.

**SPEAKER_3** (1:33)
And do they provide you with some basic background information about what's occurring or what occurred on scene and what's occurring during the transport?

**Michael Snyder** (1:41)
When possible, yeah.

**SPEAKER_3** (1:43)
And when the emergency personnel, the EMTs or paramedics, arrived at Beth Israel, there were three patients, correct?

**Michael Snyder** (1:52)
Correct.

**SPEAKER_3** (1:53)
And you were assigned to treat one patient?

**Tony Brueski** (1:56)
Correct.

**SPEAKER_3** (1:57)
Do you recall which patient that was?

**Andrew Capraro** (1:59)
Cora.

**SPEAKER_3** (2:00)
And prior to EMS arriving, did you learn more about Cora's presentation and what was occurring?

**Tony Brueski** (2:09)
Yes.

**Michael Snyder** (2:09)
So we had heard that all three were in cardiac arrest. And Cora, in particular, they were still working on doing CPR and doing what we call pediatric advanced life support, so medications to try and restart the heart.
And they also mentioned that they had used what we call a defibrillator to shock the heart to try to restart it. And they were still doing CPR when they were arriving.

**SPEAKER_3** (2:37)
And is this information important to you as you're assessing a patient coming into the emergency department?

**Michael Snyder** (2:45)
Yeah. Yeah. It's important to know what things look like in the field, how long the patient might have been without a pulse, or how long they may not have been breathing for, so we can kind of expect or know what injuries to look out for, what we can potentially reverse.

**SPEAKER_3** (3:01)
And were you aware of the age of Cora?

**Michael Snyder** (3:05)
Yes.

**SPEAKER_3** (3:05)
And she was five, correct?

**Michael Snyder** (3:07)
Yes.

**SPEAKER_3** (3:07)
And as far as the medications that you were aware of, what medications had been provided?

**Michael Snyder** (3:14)
So prior to coming to us, she had been given epinephrine, which is the primary medication we use in a cardiac arrest.

**SPEAKER_3** (3:23)
And do you know how they had administered that medicine to her?

**Michael Snyder** (3:26)
Yes. So she had what we call an intraosseous device in her right tibia. Sometimes it's very difficult to get an IV in, so we can go directly into the bone or the bone marrow.

**SPEAKER_3** (3:39)
And were you aware of whether she had been intubated in route?

**Michael Snyder** (3:43)
So she was not intubated in route.

**SPEAKER_3** (3:46)
When she arrived at the emergency department, were you there to greet the ambulance?

**Michael Snyder** (3:50)
Yes.

**SPEAKER_3** (3:50)
And what happens when a patient comes in through the emergency department via ambulance?

**Michael Snyder** (3:57)
So when the patient first comes in, we immediately have our team start to sort of take over care, so there's no gap. And then we also get a sign out from the paramedics and EMTs and any other staff that had been involved in the case.

**SPEAKER_3** (4:11)
And do you and your emergency room staff then perform your own initial assessment of the patient?