Despite his injuries, Dhozkhar Tsarnaev was able to “respond vocally” to questioning, Dr. Stephen Odom said several days after the bombings.
The twin bombs at the finishing line of the Boston Marathon on April 15 killed three and injured more than 260.
Dzhokhar Tsarnaev, 19, has pleaded not guilty to the charges against him.
He was found hiding inside a boat in a backyard garden after a two-day Boston-area manhunt.
The other suspect, his 26-year-old brother Tamerlan Tsarnaev, was killed during a shootout with police the night before.
Dr. Stephen Odom, a trauma surgeon who treated Dzhokhar Tsarnaev after his capture by heavily armed police, testified at a hearing at Beth Israel Deaconess Medical Center on April 22.
He told court officials that the worst of Dzhokhar Tsarnaev’s injuries was a gunshot wound from a bullet that entered through his mouth and exited the left side of his face.
“This was a high-powered injury that has resulted in skull-base fracture, with injuries to the middle ear, the skull base, the lateral portion of his C1 vertebrae, with a significant soft-tissue injury, as well as injury to the pharynx, the mouth, and a small vascular injury that’s been treated,” Dr. Stephen Odom explained, according to the transcript unsealed on Monday.
Dzhokhar Tsarnaev also had multiple gunshot wounds elsewhere, including his legs and his left hand.
By the time Dr. Stephen Odom testified, the 19-year-old had had multiple medical procedures.
The doctor said despite his injuries and ongoing treatment with the painkiller Dilaudid, Dzhokhar Tsarnaev knew where he was and that he was receiving medical treatment.
“He knows that he has had multiple procedures, but I’m not sure how aware he is of the specifics,” Dr. Stephen Odom told the court.
“He knows that he has an injury to the neck and to the hand.”
Dzhokhar Tsarnaev appeared in court on July 10, with his face swollen and his arm in a cast.
Among the charges he faces are 30 counts of using a weapon of mass destruction. Prosecutors could press for the death penalty.
Dzhokhar Tsarnaev has also been charged over the death of a fourth person, a university police officer allegedly shot dead by Dzhokhar and his brother Tamerlan in the days after the attack.
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