Anthony Flematti

“So visibility was extremely poor. Um, high winds, probably 20–30 mph winds, temperature probably in the 20s, with uh still actively snowing at that time.”

Establishes the extreme weather conditions the victim was exposed to overnight.

“Sun had not come up yet. It was still dark, heavy winds, heavy snow, so visibility was almost zero.”

Confirms pre-dawn darkness compounded by storm conditions at time of response.

“So we have our dispatch time 6:06, en route time 6:07, on scene 6:14, at patient 6:15, and we had transported from that scene at 6:27 and arrived at destination — at the hospital — 6:45.”

Establishes the precise EMS timeline from dispatch through hospital arrival.

“So as we're pulling up to the scene, we see two female parties — non-uniform personnel — that were going back and forth between the body and the side of the street, back and forth. Looked like — appeared to be a female party that was pushing on his chest and then going back and forth between the other female party and the patient.”

First responder's initial observation of the scene — two women present, one performing chest compressions on the victim.

“So snow was probably up to the mid-axillary point, so we're looking at probably halfway up his rib cage. Top of his body was clear.”

Establishes how much snow had accumulated on O'Keefe, relevant to how long he was exposed and weather severity.

“If it would have been removed, both of them would have been removed, to assess that. It wouldn't do much good to just remove one and leave it there on scene.”

Establishes that first responders did not remove O'Keefe's missing shoe, meaning it was already gone before they arrived.

“So the only response that I was personally given was just, "I hit him, I hit him, oh my God, I hit him."”

Karen Read's statement to the first responder, offered as a potential admission of striking O'Keefe with her vehicle.

“She just repeated the phrase over and over again: "I hit him, I hit him."”

Establishes that Read provided no other explanation or context — only the repeated phrase.

“We had active bleeding from other areas in the body. So the fact that it had already stopped and clotted, I would assume that would have been several hours before the incident that led him to be there.”

Flematti's medical opinion that the dried arm lacerations predated O'Keefe's time in the snow, suggesting a timeline of injury before exposure.

“It wasn't productive.”

Flematti's own characterization of his conversation with Read — undermining the idea it yielded a clear, detailed admission.

“I recall telling the doctors and nurses that there's a question of that — the patient was hit by a vehicle, or 'we don't know,' is what I directly said to the doctors and nurses.”

A new claim raised for the first time at trial — never documented in reports, police interviews, or grand jury testimony.

“Doesn't say that.”

Flematti's repeated admission that his report contains no mention of Read's alleged statement, no mention of telling hospital staff, and no mention of concern about a vehicle strike.

“It's actually recommended not to.”

Addresses the CPR duration point from cross — the two-minute rotation protocol means multiple responders would have cycled through compressions, contextualizing the dashcam video timeline.

“So it was due to the proximity of the patient to the roadway and the vagueness of the statement. So, proximity to the roadway and the fact that she stated "I hit him," the red flag of him being underdressed — and people don't just lie down in the snow in a blizzard — so how he got there we're not sure, so we're trying to figure out what happened. But due to the proximity of the roadway, that was our first inclination.”

Flematti articulates the clinical reasoning behind relaying a motor vehicle scenario to the hospital — the prosecution's key rehabilitation of his challenged testimony about informing hospital staff.

“I don't recall if I asked her specifically about that.”

Flematti retreats from certainty, unable to confirm he ever raised the possibility of a car strike with Read.

“So I left it open-ended to the staff of the hospital that these are both possibilities of what happened to the patient.”

Flematti reframes his hospital communication as presenting multiple possibilities rather than a definitive vehicle-strike report.