Commonwealth v. Lewis

791 A.2d 1227, 2002 Pa. Super. 31, 2002 Pa. Super. LEXIS 106
CourtSuperior Court of Pennsylvania
DecidedFebruary 8, 2002
StatusPublished
Cited by51 cases

This text of 791 A.2d 1227 (Commonwealth v. Lewis) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commonwealth v. Lewis, 791 A.2d 1227, 2002 Pa. Super. 31, 2002 Pa. Super. LEXIS 106 (Pa. Ct. App. 2002).

Opinion

CERCONE, President Judge Emeritus.

¶ 1 Appellant, Ronald Lewis, appeals from the judgment of sentence of twelve and one-half (12-1/2) to twenty-five (25) years incarceration imposed by the Trial Court after he entered a plea of nolo con-tendere to the charge of third degree murder. After review, we affirm.

¶ 2 The underlying factual history of this case has been taken from the affidavit of probable cause in support of Appellant’s arrest and the Trial Court Opinion. It is as follows:

[The infant victim in this case,] Shirron Lewis [,] was born prematurely at 2&f¡ weeks on September 27, 1997, suffering from severe respiratory distress syndrome and sepsis. The child weighed 1 pound 9 ounces at birth. He remained hospitalized for three (3) months. His weight at discharge was 5 pounds 12 ounces. (Autopsy Report, [Commonwealth’s Exhibit 1], p. 4).
The child was discharged on December 27, 1997, and thereafter resided with his parents, the [A]ppellant and Jackie Allen. The child was required to be connected to an apnea/bradycar[d]ia monitor due to clinical apnea (temporary cessation of breathing) as well as significant gastroespohageal reflux. The purpose of the monitor was to detect and monitor the child’s pauses in breathing and heart rate. The monitor is known as a “smart” monitor, and is capable of recording events and setting off an alarm. The monitor was set to detect pauses in breathing that were 16 seconds or more, and to alarm if the pauses in breathing were more than 20 seconds. The monitor was set to record and alarm if the child’s heart rate fell below 80 beats per minute. (Letter dated May 14, 1998, prepared by Russell Clayton, Sr. D.O.)
The child was hospitalized from January 8, 1998 to January 21, 1998, and from January 26, 1998 to February 12, 1998 due to frequent monitor alarms.

Trial Court Opinion, filed 6/8/2001, at 3.

[In his statement given to police] [o]n March 2, 1998, [Appellant], stated [that morning] he got up ... changed Shir-ron’s Pamper, fed him and laid Shirron in his swing. [Appellant] stated he, himself laid on the couch and watched T.V. [Appellant stated that] [a]round 1200 Hours [he] went across the street and asked Jamie (Jamyra Starkey) to bab[y]sit. [Appellant stated that] Jamie watched Shirron until 1300 hours. When [Appellant] returned, he told Jamie it’s o.k. and to go home. After checking Shirron and the monitor, [Appellant] went to sleep at this time. [Appellant stated] [t]here were no problems indicated on the monitor, and Shirron was breathing.
[Appellant] stated the baby monitor activated and woke him up. [Appellant] stated he shook the bassinet and there was no response from Shirron. [Appellant] stated his wife returned and he called “911” [Appellant] stated he shook the bassinet, but not hard. He did not *1229 see Shirron was breathing. No one else was in the house.

Affidavit of Probable Cause for Arrest, filed 2/23/2000.

[ ]Emergency Medical Services were dispatched at 1445 hours to the child’s residence and arrived at 1451 hours. The child was bradycardic, 1 and there was no sign of spontaneous respiration. CPR was performed and the heart rate increased. The child was intubated. Emergency Medical Services left the residence with the child at 1457 hours and arrived at Crozer-Chester Medical Center at 1502 hours. The child was found to have sustained intracranial and subarachnoid hemorrhaging, retinal hemorrhaging behind both eyes, and a small abrasion on the left area of the forehead. The child was later found to have also sustained a metaphyseal fracture of the right tibia.
Since the smart monitor connected to the child was capable of recording events, a record of what transpired on March 2 was reviewed. The record of events was downloaded from the monitor and interpreted by Russell G. Clayton Sr., D.O. a pulmonologist at St. Christopher’s Hospital for Children. Dr. Clayton interpreted the monitor download on or about March 6,1998 and prepared a written report.
The download from the smart monitor confirmed that prior to March 2, 1998, there were 19 episodes of prolonged central apnea of 16 to 27 seconds in duration. There were no significant heart rate changes during these episodes.
Dr. Clayton’s report of the monitor download for the events that transpired on March 2,1998, is as follows:
On March 2 at 1223 hours, a decrease in heart rate from 200 to 50 beats per minute was recorded, coincident with an increase in chest wall amplitude. After hitting a low of 50, the heart rate gradually increased to 100 before the event recording terminated. At 1425, there was a 60-second apnea, and the heart rate decreased from 100 to sixty (60) beats per minute. From 1428 to 1434, 13 events showing single sign breaths interspersed between episodes of central apnea were recorded. Heart rate during these events ranged from 180 beats per minute at 1428 to 70 beats per minute at 1434. At 1435, there were many episodes of apnea with the heart rate ranging from 100 to 60 beats per minute. The last six events, occurring from 1438 to 1436, revealed background artifact. One of these events also revealed a heart rate of 40 beats per minute, and a separate event revealed a prolonged central apnea. The last recorded event revealed a heart rate varying between 40 and 10 beats per minute.

In November of 1998, Dr. Clayton reviewed the smart monitor download at the request of the police and rendered the following written opinion on November 3,1998:

At 1223 on March 2, Shirron’s body was forcefully manipulated. The low heart rate that occurs probably signifies the initial brain injury. (If a baby’s brain is concussed, pressured, or contused, the heart will slow as a reflex). This forceful manipulation was not resuscitation, and resuscitation at this point would not have been necessary, since there was no preceding stoppage of breathing or slowing of heart rate.
*1230 Over the next 2 hours, bleeding probably continued in the brain, along with brain swelling. When brain swelling and bleeding reached a point, Shirron stopped breathing and the heart rate slowed. This is represented by the 1424 event. The irregular chest wall movements may represent irregular respiratory gasps, or may be external chest wall manipulation. (CPR?)
Over the next ten minutes, Shirron exhibits long pauses in breathing punctuated by sighs. This breathing pattern is consistent with severe brain injury. Although the monitor alarmed for many of these events, no CPR is evident.
At 1435, CPR is tentatively started and occurs in earnest by 1446.
The child never recovered from his injuries. The child remained on life support in a persistent vegetative state until his death almost two (2) years later on January 3, 2000.

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Bluebook (online)
791 A.2d 1227, 2002 Pa. Super. 31, 2002 Pa. Super. LEXIS 106, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commonwealth-v-lewis-pasuperct-2002.