Botten v. Charleston County EMS

CourtDistrict Court, D. South Carolina
DecidedMarch 14, 2024
Docket2:23-cv-05064
StatusUnknown

This text of Botten v. Charleston County EMS (Botten v. Charleston County EMS) is published on Counsel Stack Legal Research, covering District Court, D. South Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Botten v. Charleston County EMS, (D.S.C. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF SOUTH CAROLINA CHARLESTON DIVISION

RANDY BOTTEN, ) ) Plaintiff, ) ) vs. ) No. 2:23-cv-05064-DCN ) CHARLESTON COUNTY EMS; and ) CHRISTOPHER COX, in his individual ) ORDER capacity, ) ) Defendants. ) _______________________________________) This matter is before the court on defendant Charleston County EMS’s (“EMS”) motion to dismiss, ECF No. 6, defendant Christopher Cox’s (“Cox”) (together with EMS, “defendants”) motion to dismiss, ECF No. 9, and plaintiff Randy Botten’s (“Botten”) motion to amend his complaint, ECF No. 22. For the following reasons, the court grants EMS’s motion to dismiss, grants Cox’s motion to dismiss, and denies Botten’s motion to amend. I. BACKGROUND1 Botten brings this action based on injuries he sustained while in the care of defendants on or about July 9, 2021. See generally ECF No. 1, Compl. That evening, Botten and his fiancé were on Folly Beach celebrating their upcoming wedding when Botten, who was apparently intoxicated, fell and hit his head. See id. ¶¶ 6–7, 23–24, 27– 28. Both the police and the defendants responded to the scene shortly thereafter. Id. ¶¶ 8–9.

1 The court presents the factual background in the light most favorable to Botten. See Ostrzenski v. Seigel, 177 F.3d 245, 251 (4th Cir. 1999). As they were responding, EMS employees called EMS’s physician on duty (“medical control”) and determined that Botten “lacked capacity to refuse medical care.” Id. ¶ 10. After that determination was made, Botten agreed to be taken to the hospital in an ambulance, but he became combative during the trip. Id. ¶¶ 11–13. As a result, the ambulance was forced to pull over at an intersection, and EMS employees contacted the

police and put Botten in a “four-point restraint with a belt across his chest.” Id. ¶¶ 12–13. After Botten continued to try to remove the belt, Cox injected Botten with 300 milligrams of ketamine. Id. ¶¶ 14, 17. About fifteen minutes later, Cox administered a second dose with an additional 200 milligrams of ketamine. Id. ¶ 19. Botten claims that he suffered acute respiratory failure as a result of these two ketamine injections. Id. ¶¶ 29; see also id. ¶¶ 33–37. The heart of Botten’s allegations in this lawsuit is that these two ketamine injections were done without his consent and in a dangerous manner. See id. ¶¶ 15–32. He says that EMS employees determine how much ketamine to administer by “looking at

the person and guessing their weight.” Id. ¶¶ 15–16. Botten claims that injecting an intoxicated person with 500 milligrams of ketamine is extremely dangerous and can result in that person’s death, and he says that the defendants had been told he was drunk prior to their injecting him. Id. ¶¶ 23–24, 27–28. He further states that Cox did not consult with medical control prior to administering the second ketamine dose, which violated EMS’s protocol. Id. ¶¶ 20–21. Botten believes the defendants did not have a legitimate medical purpose for injecting him with ketamine and instead administered the drug “solely for the purpose of behavioral control.” Id. ¶ 25. Moreover, Botten does not believe this to have been an isolated incident. Id. ¶¶ 30–32. He claims that there have been numerous occasions of EMS injecting people with ketamine and those individuals suffering acute respiratory failure as a result. Id. ¶¶ 31–32. He points specifically to a 2019 incident in which a man died as a result of EMS injecting him with ketamine after the man had consumed alcohol. Id. ¶ 30. Botten

argues that EMS “has done nothing to improve its practices regarding ketamine” since these previous occurrences. Id. ¶ 32. Botten filed this lawsuit on October 10, 2023. See id. He asserts three causes of action. Id. ¶¶ 38–60. His first cause of action is for violation of his procedural and substantive due process rights to bodily integrity pursuant to 42 U.S.C. § 1983. Id. ¶¶ 38–48. This cause of action is asserted directly against Cox in his individual capacity. Id. at 4. The second cause of action is for negligence and gross negligence and is asserted exclusively against EMS.2 Id. ¶¶ 49–53. Finally, Botten’s third cause of action is for assault and battery and is asserted against Cox. Compl. ¶¶ 54–60.

EMS moved to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6) on November 8, 2023, ECF No. 6, and Cox similarly moved for dismissal on November 11, 2023, ECF No. 9. Thereafter, Botten responded to EMS’s motion on November 27, 2023, ECF No. 11, and to Cox’s motion on December 5, 2023, ECF No. 13. EMS replied on December 1, 2023, ECF No. 12, and Cox replied on December 12, 2023, ECF No. 14.

2 The caption to both Botten’s first and third causes of action indicate that they are asserted exclusively against Cox, but the caption to his second cause of action does not list any particular defendant. See Compl. at pp. 4, 6. At a hearing on the motions to dismiss, Botten’s counsel clarified that he asserts his first and third causes of action exclusively against Cox and his second cause of action exclusively against EMS. ECF No. 21. On February 8, 2024, the court held a hearing in which it heard arguments from the parties on the two pending motions to dismiss. ECF No. 21. Botten then moved to amend his complaint on February 13, 2024—after the hearing but before the court had ruled on either pending motion to dismiss. ECF No. 22. Both Cox and EMS filed responses in opposition to Botten’s motion to amend on

February 27, 2024, ECF Nos. 23; 24, and Botten replied on March 3, 2024, ECF No. 25. As such, all three motions are fully briefed and now ripe for the court’s review. II. STANDARD A. Motions to Dismiss A Rule 12(b)(6) motion for failure to state a claim upon which relief can be granted “challenges the legal sufficiency of a complaint.” Francis v. Giacomelli, 588 F.3d 186, 192 (4th Cir. 2009) (citations omitted); see also Republican Party of N.C. v. Martin, 980 F.2d 943, 952 (4th Cir. 1992) (“A motion to dismiss under Rule 12(b)(6) does not resolve contests surrounding the facts, the merits of a claim, or the applicability

of defenses.”). To be legally sufficient, a pleading must contain a “short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. P. 8(a)(2). A Rule 12(b)(6) motion should not be granted unless it appears certain that the plaintiff can prove no set of facts that would support his claim and would entitle him to relief. Mylan Lab’ys, Inc. v. Matkari, 7 F.3d 1130, 1134 (4th Cir. 1993). When considering a Rule 12(b)(6) motion, the court should accept all well- pleaded allegations as true and should view the complaint in a light most favorable to the plaintiff. Ostrzenski v. Seigel, 177 F.3d 245, 251 (4th Cir. 1999); Mylan Lab’ys, 7 F.3d at 1134. “To survive a motion to dismiss, a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)).

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Botten v. Charleston County EMS, Counsel Stack Legal Research, https://law.counselstack.com/opinion/botten-v-charleston-county-ems-scd-2024.