Com. v. Myers, C.

Procedural entryThis page is a short order in Com. v. Myers, C.. Read the opinion of the Court — 303 A.3d 118
Superior Court of Pennsylvania·Decided December 17, 2024·No. 1116 MDA 2023·Unpublished

Opinion

J-A07032-24

NON-PRECEDENTIAL DECISION - SEE SUPERIOR COURT O.P. 65.37

COMMONWEALTH OF PENNSYLVANIA : IN THE SUPERIOR COURT OF : PENNSYLVANIA : v. : : : CORTNEY PAIGE MYERS : : Appellant : No. 1116 MDA 2023

Appeal from the Judgment of Sentence Entered July 18, 2023 In the Court of Common Pleas of Adams County Criminal Division at No(s): CP-01-CR-0001039-2022

BEFORE: STABILE, J., SULLIVAN, J., and STEVENS, P.J.E.*

MEMORANDUM BY STEVENS, P.J.E.: FILED DECEMBER 17, 2024

Appellant Cortney Paige Myers appeals from the judgment of sentence

entered by the Court of Common Pleas of Adams County after a jury convicted

her of endangering the welfare of a child. After a careful review, we affirm.

Appellant was charged with endangering the welfare of a child after her

eight-month-old daughter experienced near-fatal complications after

accessing fentanyl while in Appellant’s care. Appellant proceeded to a jury

trial, at which the following factual background was developed.

On June 3, 2022, emergency personnel responded to a report of an

unconscious patient at a residence in New Oxford, Adams County,

Pennsylvania. Notes of Testimony (N.T.), 2/8/23, at 21-22, 24-25. Adams

Regional EMS paramedic William Kuntz arrived at the scene at approximately

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* Former Justice specially assigned to the Superior Court. J-A07032-24

10:10 a.m. and encountered Appellant frantically carrying her eight-month-

old infant, E.W., directly to the ambulance for medical care. N.T. at 26.

Kuntz noted that E.W.’s body was limp, her skin was very pale, and her

mouth was blue, which caused Kuntz immediate concern that E.W. was

hypoxic and not getting enough oxygen. N.T. at 26-28. After the paramedics

began ventilation with a bag valve mask, E.W.’s heart rate dropped rapidly,

and she went into cardiac arrest. N.T. at 29. Once the paramedics

administered CPR, E.W. regained a pulse. N.T. at 32. The paramedics

continued to give E.W. ventilation, called for assistance, and summoned a

helicopter to transport E.W. for advanced care given the severity of her

condition and its unknown cause. N.T. at 32-35.

While rendering aid to E.W., Kuntz had simultaneously attempted to ask

Appellant what led to E.W.’s condition. N.T. at 27. Appellant indicated that

E.W. was in the pantry, playing with peanut butter or soap. N.T. at 31, 44.

While Kuntz attempted to formulate ideas on the cause of E.W.’s rapid decline,

he was confused by Appellant’s explanations. N.T. at 30, 36. Kuntz speculated

that E.W. may have been experiencing an allergic reaction or have swallowed

an object that caused an airway obstruction, but Kuntz was able to rule those

possibilities out. N.T. at 31-32. The paramedics attempted to place an

intravenous line to administer fluids and medication to E.W.; however, they

were unable to do so due to her size. N.T. at 38. E.W. was life-flighted to

Hershey Medical Center. N.T. at 87, 92.

-2- J-A07032-24

Officer Timothy Mulder responded to Appellant’s home after receiving a

report that a baby was having trouble breathing and went into cardiac arrest.

N.T. at 45-47. When Officer Mulder arrived, the paramedics were caring for

E.W. in the ambulance. N.T. at 48. Officer Mulder approached Appellant, who

was standing with her boyfriend, Eric Williams (who is also E.W.’s father).

N.T. at 48, 58. Appellant told Officer Mulder that E.W. was playing on the

kitchen floor when Appellant noticed E.W. was having breathing issues. N.T.

at 48. Appellant used her phone to call Williams, who called 9-1-1 shortly

thereafter. N.T. at 49. At the scene, Williams became so physically upset

that he hyperventilated and passed out. N.T. at 49, 53. Paramedics placed

Williams on a stretcher and administered aid. N.T. at 53.

Officer Mulder testified that at that point he was not yet aware of the

reason that E.W. stopped breathing and entered cardiac arrest. N.T. at 49.

When the prosecutor asked Officer Mulder if he searched Appellant’s home,

Officer Mulder indicated that he did not have a reason to do so as he did not

believe it was a criminal matter at that time. N.T. at 50, 57. Officer Mulder

admitted that Appellant did not show any signs of intoxication but appeared

to be physically upset. N.T. at 54.

Kathryn McCans, a pediatric emergency physician at Hershey Medical

Center, testified that she treated E.W. when she arrived at the hospital on

June 3, 2023, at approximately 12:00 p.m. N.T. at 85-86, 91-92, 102. The

critical care flight team had intubated E.W. to help her breathe and

-3- J-A07032-24

administered ketamine in the process to sedate E.W. for the intubation. N.T.

at 92.

When Dr. McCans examined E.W. and noted that her pupils were quite

constricted, she became concerned that E.W. could have been experiencing

opioid exposure given her trouble breathing and cardiac arrest. N.T. at 93.

Dr. McCans gave E.W. Narcan, an antagonist opioid that reverses symptoms

of opioid exposure. After the Narcan administration, E.W. responded well, and

her condition improved. N.T. at 93-94, 101.

Toxicology screens of E.W.’s blood and urine taken at the time of her

arrival at the hospital revealed the presence of fentanyl, benzodiazepine,

acetaminophen, and ibuprofen.1 N.T. at 95, 99-100. Dr. McCans indicated

that E.W. recovered and was released from the hospital. N.T. at 104.

Dr. McCans indicated that she could not tell how E.W. ingested the

fentanyl but indicated that “the onset of fentanyl is quite rapid,” such that

E.W. would have experienced symptoms of opioid exposure in a very short

time after her contact with fentanyl. N.T. at 102. Dr. McCans averred that

E.W. was not administered fentanyl while under the hospital’s care.2 N.T. at

1 Dr. McCans conceded that the benzodiazepine was given to E.W. in the course of her treatment. N.T. at 99. Dr. McCans also indicated that acetaminophen and ibuprofen are age-appropriate medications for infants that are used routinely for various reasons. N.T. at 100. 2 While Dr. McCans admitted that the critical care flight team administered

ketamine (a sedative) to E.W. to assist in her intubation in the field, Dr. McCans indicated the ketamine in E.W.’s system would not be measured as fentanyl on a toxicology screen. N.T. at 99, 105.

-4- J-A07032-24

97. In her opinion, Dr. McCans testified that if E.W. had not received medical

care for her fentanyl exposure, she would have died. N.T. at 97.

At the conclusion of the Commonwealth’s case-in-chief at trial, the

parties agreed to allow the prosecution to present a stipulation of facts

regarding a factually similar incident occurring in September 2020 in which

Appellant’s older daughter, H.W., required medical care after she ingested

fentanyl when she was eight months old while in Appellant’s exclusive care.3

Before the stipulation was presented to the jury, the trial court

presented a limiting instruction to inform the jury that the prosecution was

offering the stipulation for the sole purpose of showing the absence of mistake

or accident in this case. N.T. at 114-15. The trial court indicated that the jury

was not permitted to regard this evidence as proof that Appellant was a person

of bad character or had a propensity to commit criminal acts. N.T. at 114.

The following stipulation was then read to the jury:

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Com. v. Myers, C., (Pa. Ct. App. 2024).

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