Abel Rios v. State

Court of Appeals of Texas·Decided September 24, 2008·No. 08-06-00211-CR·Published

Opinion

COURT OF APPEALS

EIGHTH DISTRICT OF TEXAS

EL PASO, TEXAS

§

ABEL RIOS, No. 08-06-00211-CR §

Appellant, Appeal from §

v. 210th District Court §

THE STATE OF TEXAS, of El Paso County, Texas §

Appellee. (TC # 20040D00922)

§

OPINION

This appeal arises from the tragic death of four-year-old Tangie Vargas. Abel Rios appeals his conviction of injury to a child. Appellant was charged by indictment with one count of capital murder and one count of murder in the death of Tangie Vargas, a child under six years of age. A jury found him guilty of the lesser-included offense of injury to a child and assessed punishment at life imprisonment. The judgment includes an affirmative deadly weapon finding. For the reasons that follow, we affirm.

FACTUAL SUMMARY

Janice Garcia Rodriguez met Appellant in El Paso in March of 2003 and they began living together a month later. Rodriguez had three daughters, four-year-old Tangie, seven-year-old Valerie, and one-year-old Jayceen. Tangie required constant care because she was born with Cornelia de Lange Syndrome, also known as Brackman Syndrome In addition to certain physical features, Cornelia de Lange is characterized by mental retardation and developmental delay as well as and difficulty in feeding and communicating. Rodriguez had learned to understand Tangie’s non-verbal sounds and gestures. Tangie was also prone to respiratory infections and required treatment with a nebulizer and albuterol. She had been hospitalized on multiple occasions. Despite her challenges, Tangie was a happy child.

On December 27, 2003, Valerie was staying with her aunt and needed clothes. Rodriguez left Tangie with Appellant while she dropped off the clothes and stopped by her mother’s house, but she was gone less than half an hour. Tangie was fine when Rodriguez left. When she returned, she found Appellant kneeling on the floor with Tangie and holding the nebulizer to her face. Appellant told her that Tangie was not breathing. Tangie was limp, her eyes were not blinking, and she was vomiting through her mouth and nose. Rodriguez had seen Tangie when ill and not breathing but she had never seen her like this. Rodriguez told Appellant to call 911, but he refused and told her to drive Tangie to the hospital herself so that she would not waste time waiting for the ambulance. Rodriguez insisted and she spoke with the 911 operator. Appellant wanted to leave the apartment because he had outstanding warrants but Rodriguez asked him to stay.

Police units and EMS arrived at the scene. Paramedics Abel Duque and Alex Miranda found Tangie lying on the floor, not breathing, with her pupils fixed and dilated. Duque was unsuccessful in establishing an adequate airway but Tangie was sufficiently stabilized for transport to the hospital. Duque asked what had happened to Tangie but Rodriguez was hysterical and Appellant remained in a bedroom. If Duque had known that Tangie had suffered blunt trauma, he would have taken her to Thomason Hospital because it is a level-one trauma center. Instead, they transported her to Del Sol Medical Center.

Rodriguez did not remember the details of what happened after the ambulance arrived, but she recalled riding with Tangie in the ambulance. Appellant remained at home with Jayceen. At the hospital, the medical staff asked Rodriguez what had happened to Tangie. Because she did not know, she called Appellant and begged him to come to the hospital and explain what had happened.

When Appellant eventually arrived at Del Sol, he spoke with Officer Jose Martinez of the El Paso Police Department. Appellant said that he had left Tangie in her bedroom while he was doing the laundry. When he returned, she was on the floor and having difficulty breathing. Appellant picked her up and took her into another room where there was a machine which helped her breathe. She began throwing up and he tapped her on the back and attempted to clear her mouth. At that point, the child’s mother returned and they called 911.

Detective Oscar Morales was dispatched to Del Sol because a four-year-old child had sustained a brain hemorrhage by unknown means. He approached Appellant in the emergency room and asked whether Appellant would speak to him at the police substation. Appellant agreed and followed Detective Morales to the substation. Appellant waived his constitutional rights and gave a voluntary written statement. He said that he found Tangie on the bedroom floor gasping for air. He took her into the living room because that is where the “vapor machine” was located but she started vomiting. He tapped her back gently and used his finger to try to remove food from her mouth but she continued to vomit and gasp for air. When Rodriguez came home, he called 911.

The CT scan revealed that Tangie had suffered brain hematomas. Her pupils were fixed and unresponsive and she was placed on a ventilator. Her pediatrician decided to immediately transfer her to the pediatric intensive care unit at Las Palmas Medical Center. Steroids were administered to reduce brain swelling and Tangie remained on the ventilator while the doctors waited to see how much damage she had sustained. A brain flow scan performed at Las Palmas revealed a lack of blood flow in the brain. An EEG showed a flattening of the waves indicating a lack of electrical activity in the brain. Three neurologists examined Tangie and performed clinical tests which indicated the absence of reflexes. These test results indicated that no brain function remained and Tangie could not survive without artificial life support. On December 30, the doctors informed

Rodriguez that Tangie was brain dead and she decided to disconnect life support. Tangie died some two hours later.

Dr. Corinne Stern, the chief medical examiner of El Paso County, performed the autopsy.

When Dr. Stern reflected the scalp, she found two separate areas of subgaleal hemorrhage indicating two separate impact sites. These injuries are indicative of blunt force injury caused by something striking the child’s head or having her head struck against an object. Dr. Stern removed the cranial vault and found a subdural injury. Tangie had bleeding underneath the dura covering the left occipital lobe. Further examination showed diffuse subarachnoid hemorrhage covering the convexities of the brain. Subarachnoid hemorrhage occurs when the small vessels that connect the pia mater to the brain are torn when the brain moves around in the vault. Dr. Stern examined the brain further and found a contusion or bruise of the parynchemal. She characterized it as a contrecoup injury from one of the two impact sites identified on the subgaleal tissue. Dr. Stern concluded that the cause of death was abusive head injuries caused by striking her head with an object or striking her head against an object. She added that the abusive head injuries occurred with shaking. She based the latter conclusion on her examination of the eyes. She found bleeding in both optic nerve sheaths which is caused exclusively by a shaking-type motion of the head. Through additional testing, Dr. Stern found retinal hemorrhage on the left side.

In Dr. Stern’s expert opinion, a hand can be a deadly weapon. A hand can generate enough force to cause subdural hemorrhage and contusions in the brain from direct impact of the hand or by knocking the individual down and causing a contrecoup injury. A hand can cause subarachnoid hemorrhage by generating significant motion of the brain inside of the skull to tear the bridging veins. In her opinion, these injuries were inflicted upon Tangie Vargas with considerable force and violence and she could not have survived because her injuries were so severe. Dr. Stern concluded that the combination of injuries constituted “shaken impact syndrome.”

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