OPINION
HOLCOMB J.,
delivered the opinion of the Court,
in which KELLER, P.J., and MEYERS, PRICE, WOMACK, KEASLER, HERVEY, and COCHRAN, JJ., joined.
This case presents two questions: (1) whether the court of appeals erred in holding that the evidence presented at appellant’s trial was legally sufficient to prove that he used a deadly weapon during the commission of his offense, and (2) whether the court of appeals erred in holding that the trial court did not err in admitting into evidence certain out-of-court statements of the victim. We answer both questions in the negative and affirm the judgment of the court of appeals.
I
On February 21, 2001, a Dallas County grand jury presented an indictment that charged appellant with aggravated assault under Texas Penal Code § 22.02(a)(1) and (2).
The indictment also charged, for punishment enhancement purposes, that appellant had two previous felony convictions. See Tex. Pen.Code § 12.42(d).
On August 14, 2001, the State brought appellant to trial under the indictment. At the guilf/innoeence stage of trial, the State presented five witnesses and numerous exhibits in an attempt to prove its case, and appellant presented two witnesses in his defense. The heart of the State’s case was certain out-of-court statements of the victim, in which statements the victim claimed appellant assaulted her.
Those out-of-court statements came into evidence, sometimes over appellant’s objection and sometimes not, through the testimony of a paramedic, a nurse, and two police officers as well as through the victim’s hospital records.
Viewed in the light most favorable to the State,
the evidence presented at appellant’s trial established the following: On January 20, 2001, at approximately 12:30 a.m., appellant and his wife, Cindy Lane, argued at their home over his alleged mar
ital infidelity. In the course of the argument, appellant struck Ms. Lane in the head several times with his closed fist, causing her to fall from a chair, in which she had been sitting, onto the floor. After Ms. Lane fell to the floor, appellant kicked her in the lower back and chest. As a result of appellant’s assault, Ms. Lane suffered a concussion to the brain and temporarily lost consciousness. She further suffered bruising to her scalp, right temple, chest, and hand. Appellant summoned emergency medical personnel, who examined Ms. Lane at the scene and then transported her by ambulance to a nearby hospital for further examination. In the hours that followed the assault, Ms. Lane suffered from nausea, vomiting, dizziness, and considerable pain in her head, neck, chest, and back.
The evidence presented at trial — specifically, the testimony of the paramedic, the nurse, and the two police officers — also established that a closed fist striking a person’s head, or a foot striking a person’s back or chest, could cause serious physical injury.
After the presentation of the evidence, the trial court instructed the jury, in accordance with the indictment, that it
(i.e.,
the jury) could convict appellant of aggravated assault if it found beyond a reasonable doubt either (1) that appellant intentionally, knowingly, or recklessly caused bodily injury to the victim by striking her with his hand or by kicking her with his foot, and that in doing so appellant either used or exhibited a deadly weapon, to wit: his hand or his foot, or (2) that appellant intentionally, knowingly, or recklessly caused serious bodily injury to the victim by striking her with his hand or by kicking her with his foot, and that in doing so appellant either used or exhibited a deadly weapon, to wit: his hand or his foot. The trial court also instructed the jury as to the statutory definitions of “bodily injury,” “serious bodily injury,” and “deadly weapon.” See footnote two,
supra.
The jury, after deliberating, found appellant guilty “as alleged in the indictment.” The trial court later assessed appellant’s punishment, enhanced by the two prior felony convictions, at imprisonment for 35 years.
On direct appeal, appellant brought two points of error. In his first point of error, he argued that the evidence presented at his trial was “legally insufficient ... to prove beyond a reasonable doubt [either that he] caused bodily injury to the complainant while using or exhibiting a deadly weapon [or that he] caused serious bodily injury to the complainant by hitting and kicking.” In particular, appellant argued that, “[i]f the State’s evidence [was] deemed [legally] sufficient, then every misdemeanor assault could be prosecuted as a felony, since in every case where a defendant physically assaults another person, his hands could be considered deadly weapons.” In his second point of error, appellant argued that the trial court erred in admitting the victim’s out-of-court statements into evidence through the testimony of the paramedic, the nurse, and the two police officers.
On June 5, 2003, the Eleventh Court of Appeals overruled both of appellant’s points of error and affirmed the judgment of the trial court.
Lane v. State,
111 S.W.3d 203 (Tex.App.-Eastland 2003). With respect to appellant’s first point of error, the court of appeals agreed with him that the evidence presented at trial was legally insufficient to prove that he caused serious bodily injury to the victim, but the court held nonetheless that the evidence was legally sufficient to prove that he caused bodily injury to the victim and that in doing so he used a deadly weapon, to wit: his hand or his foot.
Id.
at 210.
With respect to appellant’s second point of error, the court of appeals upheld the trial court’s admission of the victim’s out-of-court statements through the testimony of the paramedic, the nurse, and the two police officers, because, according to the court of appeals, the testimony in question was admissible under the “excited utterance” exception to the hearsay rule.
Id.
at 211. See Tex.R. Evid. 803(2). The court of appeals also held that the testimony in question of the paramedic and the nurse was admissible under the “medical diagnosis” exception to the hearsay rule.
Lane v. State,
111 S.W.3d at 211. See Tex.R. Evid. 803(4).
Appellant subsequently filed a petition for discretionary review raising two grounds for review. In his first ground, appellant argued that the court of appeals erred in holding that the evidence presented at trial was legally sufficient to prove that he used a deadly weapon during the commission of his offense. In his second ground, appellant argued that the court of appeals erred in upholding, under the “excited utterance” exception to the hearsay rule, the trial court’s admission of the victim’s out-of-court statements through the testimony of the paramedic, the nurse, and the two police officers. Significantly, appellant did not challenge the court of appeals’ holding that, under the “medical diagnosis” exception to the hearsay rule, the trial court did not err in admitting the out-of-court statements of the victim through the testimony of the paramedic and the nurse.
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OPINION
HOLCOMB J.,
delivered the opinion of the Court,
in which KELLER, P.J., and MEYERS, PRICE, WOMACK, KEASLER, HERVEY, and COCHRAN, JJ., joined.
This case presents two questions: (1) whether the court of appeals erred in holding that the evidence presented at appellant’s trial was legally sufficient to prove that he used a deadly weapon during the commission of his offense, and (2) whether the court of appeals erred in holding that the trial court did not err in admitting into evidence certain out-of-court statements of the victim. We answer both questions in the negative and affirm the judgment of the court of appeals.
I
On February 21, 2001, a Dallas County grand jury presented an indictment that charged appellant with aggravated assault under Texas Penal Code § 22.02(a)(1) and (2).
The indictment also charged, for punishment enhancement purposes, that appellant had two previous felony convictions. See Tex. Pen.Code § 12.42(d).
On August 14, 2001, the State brought appellant to trial under the indictment. At the guilf/innoeence stage of trial, the State presented five witnesses and numerous exhibits in an attempt to prove its case, and appellant presented two witnesses in his defense. The heart of the State’s case was certain out-of-court statements of the victim, in which statements the victim claimed appellant assaulted her.
Those out-of-court statements came into evidence, sometimes over appellant’s objection and sometimes not, through the testimony of a paramedic, a nurse, and two police officers as well as through the victim’s hospital records.
Viewed in the light most favorable to the State,
the evidence presented at appellant’s trial established the following: On January 20, 2001, at approximately 12:30 a.m., appellant and his wife, Cindy Lane, argued at their home over his alleged mar
ital infidelity. In the course of the argument, appellant struck Ms. Lane in the head several times with his closed fist, causing her to fall from a chair, in which she had been sitting, onto the floor. After Ms. Lane fell to the floor, appellant kicked her in the lower back and chest. As a result of appellant’s assault, Ms. Lane suffered a concussion to the brain and temporarily lost consciousness. She further suffered bruising to her scalp, right temple, chest, and hand. Appellant summoned emergency medical personnel, who examined Ms. Lane at the scene and then transported her by ambulance to a nearby hospital for further examination. In the hours that followed the assault, Ms. Lane suffered from nausea, vomiting, dizziness, and considerable pain in her head, neck, chest, and back.
The evidence presented at trial — specifically, the testimony of the paramedic, the nurse, and the two police officers — also established that a closed fist striking a person’s head, or a foot striking a person’s back or chest, could cause serious physical injury.
After the presentation of the evidence, the trial court instructed the jury, in accordance with the indictment, that it
(i.e.,
the jury) could convict appellant of aggravated assault if it found beyond a reasonable doubt either (1) that appellant intentionally, knowingly, or recklessly caused bodily injury to the victim by striking her with his hand or by kicking her with his foot, and that in doing so appellant either used or exhibited a deadly weapon, to wit: his hand or his foot, or (2) that appellant intentionally, knowingly, or recklessly caused serious bodily injury to the victim by striking her with his hand or by kicking her with his foot, and that in doing so appellant either used or exhibited a deadly weapon, to wit: his hand or his foot. The trial court also instructed the jury as to the statutory definitions of “bodily injury,” “serious bodily injury,” and “deadly weapon.” See footnote two,
supra.
The jury, after deliberating, found appellant guilty “as alleged in the indictment.” The trial court later assessed appellant’s punishment, enhanced by the two prior felony convictions, at imprisonment for 35 years.
On direct appeal, appellant brought two points of error. In his first point of error, he argued that the evidence presented at his trial was “legally insufficient ... to prove beyond a reasonable doubt [either that he] caused bodily injury to the complainant while using or exhibiting a deadly weapon [or that he] caused serious bodily injury to the complainant by hitting and kicking.” In particular, appellant argued that, “[i]f the State’s evidence [was] deemed [legally] sufficient, then every misdemeanor assault could be prosecuted as a felony, since in every case where a defendant physically assaults another person, his hands could be considered deadly weapons.” In his second point of error, appellant argued that the trial court erred in admitting the victim’s out-of-court statements into evidence through the testimony of the paramedic, the nurse, and the two police officers.
On June 5, 2003, the Eleventh Court of Appeals overruled both of appellant’s points of error and affirmed the judgment of the trial court.
Lane v. State,
111 S.W.3d 203 (Tex.App.-Eastland 2003). With respect to appellant’s first point of error, the court of appeals agreed with him that the evidence presented at trial was legally insufficient to prove that he caused serious bodily injury to the victim, but the court held nonetheless that the evidence was legally sufficient to prove that he caused bodily injury to the victim and that in doing so he used a deadly weapon, to wit: his hand or his foot.
Id.
at 210.
With respect to appellant’s second point of error, the court of appeals upheld the trial court’s admission of the victim’s out-of-court statements through the testimony of the paramedic, the nurse, and the two police officers, because, according to the court of appeals, the testimony in question was admissible under the “excited utterance” exception to the hearsay rule.
Id.
at 211. See Tex.R. Evid. 803(2). The court of appeals also held that the testimony in question of the paramedic and the nurse was admissible under the “medical diagnosis” exception to the hearsay rule.
Lane v. State,
111 S.W.3d at 211. See Tex.R. Evid. 803(4).
Appellant subsequently filed a petition for discretionary review raising two grounds for review. In his first ground, appellant argued that the court of appeals erred in holding that the evidence presented at trial was legally sufficient to prove that he used a deadly weapon during the commission of his offense. In his second ground, appellant argued that the court of appeals erred in upholding, under the “excited utterance” exception to the hearsay rule, the trial court’s admission of the victim’s out-of-court statements through the testimony of the paramedic, the nurse, and the two police officers. Significantly, appellant did not challenge the court of appeals’ holding that, under the “medical diagnosis” exception to the hearsay rule, the trial court did not err in admitting the out-of-court statements of the victim through the testimony of the paramedic and the nurse.
On January 28, 2004, we granted appellant’s petition for discretionary review in order to determine whether either of his grounds for review has any merit. See Tex.R.App. Proc. 66.3(c)
&
(d).
II
We turn now to appellant’s first ground for review. As we noted in footnote two,
supra,
Texas Penal Code § 1.07(a)(17) provides, in relevant part, that a “deadly weapon” is “anything that in the manner of its use or intended use is capable of causing death or serious bodily injury.” As we also noted in footnote two, Texas Penal Code § 1.07(a)(46) provides that “ ‘serious bodily injury’ means bodily injury that creates a substantial risk of death or that causes death, serious permanent disfigurement, or protracted loss or impairment of the function of any bodily member or organ.” We have recognized before that a hand or a foot may be a deadly weapon within the meaning of § 1.07(a)(17) “depending upon the evidence shown.”
Turner v. State,
664 S.W.2d 86, 90 (Tex.Crim.App.1983).
We have also recognized that the injuries, if any, inflicted on the victim are factors to be considered in determining whether a hand or a foot was used as a deadly weapon.
Ibid.
The question we must answer now is whether the court of appeals erred in holding that the evidence presented at appellant’s trial was legally sufficient to prove that, during the commission of his offense, he used his hand or his foot as a deadly weapon.
In assessing the legal sufficiency of the evidence, under the Due Process Clause of the Fourteenth Amendment, to support a conviction, an appellate court must consider all the record evidence in the light most favorable to the prosecution and determine whether, based on that evidence and reasonable inferences therefrom, any rational trier of fact could have
found the defendant guilty of all the elements of the offense beyond a reasonable doubt.
Jackson v. Virginia,
443 U.S. 307, 319, 99 S.Ct. 2781, 61 L.Ed.2d 560 (1979);
Griffin v. State,
614 S.W.2d 155, 158-159 (Tex.Crim.App.1981). “In carrying out our task, we remain cognizant that ‘proof beyond a reasonable doubt’ means proof to a high degree of certainty.”
Urbano v. State,
837 S.W.2d 114, 116 (Tex.Crim.App.1992).
As we noted previously, the evidence presented at appellant’s trial, viewed in the light most favorable to the prosecution, established that he struck the victim in the head several times with his closed fist, knocking her to the floor, and that he then kicked her in the lower back and chest. As a result of appellant’s assault, the victim suffered a concussion to the brain, bruising, and temporary loss of consciousness. Furthermore, in the hours after the assault, the victim suffered from nausea, vomiting, dizziness, and considerable pain in several parts of her body. There was also evidence presented at trial — from a paramedic, a nurse, and two police officers — that a closed fist striking a person’s head, or a foot striking a person’s back or chest, could cause serious physical injury. After due consideration and taking into account all of the specific acts and injuries, we find that the evidence presented at appellant’s trial was sufficient to persuade a rational trier of fact beyond a reasonable doubt that appellant used both his hand and his foot as “deadly weapons” within the meaning of that phrase as defined by the Penal Code. Thus, the court of appeals did not err. We overrule appellant’s first ground for review.
Ill
We turn next to appellant’s second ground for review. As we noted previously, appellant argued, in his petition for discretionary review, that the court of appeals erred in upholding, under the “excited utterance” exception to the hearsay rule, the trial court’s admission of the victim’s out-of-court statements through the testimony of the paramedic, the nurse, and the two police officers. As we also noted previously, appellant, in his petition, did not challenge the court of appeals’ other holding that, under the “medical diagnosis” exception to the hearsay rule, the trial court did not err in admitting the victim’s out-of-court statements through the testimony of the paramedic and the nurse. In these circumstances, the question of whether the court of appeals erred in holding that the trial court did not err in admitting the victim’s out-of-court statements through the testimony of the paramedic and the nurse is not before us.
Sims v. State,
792 S.W.2d 81, 82 (Tex.Crim.App.1990). As Professors Dix and Dawson have explained,
[i]f the court of appeals set out alternative grounds for its result, discretionary review does not lie to review less than all of those grounds. A conclusion by the Court of Criminal Appeals on less than all such grounds would not affect the outcome because the judgment of the court of appeals would remain supported by the alternative ground.
G. Dix & R. Dawson,
Texas Criminal Practice and Procedure
§ 44.30 at 869 (2nd ed.2001).
The question remaining is whether the court of appeals erred in upholding, under the “excited utterance” exception to the hearsay rule, the trial court’s admission of the victim’s out-of-court statements through the testimony of the two police officers. The record reflects that on eight separate occasions during the guilt/innocence stage — twice during the paramedic’s testimony, twice during the nurse’s testimony, twice during the first police officer’s
testimony, and twice in the victim’s hospital records — the victim’s out-of-court statements came into evidence without appellant’s objection. In these circumstances, no reversible error is presented. As we explained in
Valle v. State,
109 S.W.3d 500, 509 (Tex.Crim.App.2008),
[t]o preserve error in admitting evidence, a party must make a proper objection and get a ruling on that objection. In addition, a party must object each time the inadmissible evidence is offered or obtain a running objection. An error [if any] in the admission of evidence is cured where the same evidence comes in elsewhere without objection.
See also
Leday v. State,
988 S.W.2d 713, 718 (Tex.Crim.App.1998) (“Our rule ... is that overruling an objection to evidence will not result in reversal when other such evidence was received without objection, either before or after the complained-of ruling.”). Thus, the court of appeals did not err in upholding the trial court’s admission of the victim’s out-of-court statements. We overrule appellant’s second ground for review.
We affirm the judgment of the court of appeals.
JOHNSON, J., concurred as to Part II and joined Part III.