State v. Altum

941 P.2d 1348, 262 Kan. 733, 1997 Kan. LEXIS 123
CourtSupreme Court of Kansas
DecidedJuly 11, 1997
Docket76,734
StatusPublished
Cited by17 cases

This text of 941 P.2d 1348 (State v. Altum) is published on Counsel Stack Legal Research, covering Supreme Court of Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Altum, 941 P.2d 1348, 262 Kan. 733, 1997 Kan. LEXIS 123 (kan 1997).

Opinion

The opinion of the court was delivered by

Allegrucci, J.:

Vincent Altum appeals his conviction by a jury of one count of felony murder. The underlying felony count, abuse of a child, was dismissed by the district court following trial. Altum was sentenced to life imprisonment.

The defendant, Vincent Altum, lived with Toni Lynne Phipps and her 14-month-old son, Dylan Cox. When Phipps was at work, Altum, who was unemployed, watched Dylan. Phipps testified that when she arrived home from working the lunch shift on November 1, Dylan was asleep. Altum was in the living room of their apartment playing with his radio-controlled cars. After awhile Phipps heard Dylan moaning. When he was picked up, his neck was limp but his body was stiff and “he was moving his arms and legs like he was riding a bicycle.” Phipps testified that she immediately wanted to take Dylan to the hospital, but that Altum resisted on the ground that Dylan’s bruises might raise a suspicion of child abuse. At Altum’s direction, Phipps went instead to the store for *734 Tylenol for Dylan. About mid-afternoon, Altum and Phipps took Dylan to the emergency room at Riverside Hospital.

Dr. Curtis Piekert first saw Dylan Cox at approximately 5 p.m. on November 1,1995, when Dylan arrived by ambulance at Wesley Medical Center. Because Dylan’s arms and legs flailed about in a nonpurposeful way, his eyes opened and closed absent any indication that he was seeing, arid his breathing was erratic, it was obvious to Dr. Piekert that the child’s brain was not functioning properly. Initial examination of Dylan revealed a number of bruises on his head, bruising on his left arm and scapula, many bruises on his buttocks, and red lesions on a hand and foot. The top of Dylan’s head was mushy, which indicated bleeding under the skin. A CT scan, which was made immediately, showed significant swelling of his brain, bleeding within the skull, and signs of bleeding within the brain.

A pediatric neurologist and a neurosurgeon were consulted for the purpose of determining whether Dylan’s condition could be improved by surgery. They concluded that he was very near death and that surgery was not indicated. His condition was rapidly deteriorating. Dylan was put on a respirator to keep him breathing. “[A]n all-out attempt” was made to save his fife by controlling the pressure in his brain.

A pediatric ophthalmologist examined Dylan and confirmed that he had extensive retinal hemorrhages in the backs of both eyes. Dr. Piekert explained that retinal hemorrhages often are associated with shaken baby syndrome, but may be caused by any trauma that causes a small child’s head to move suddenly in one direction and then in another.

At the hospital, Dr. Piekert interviewed Phipps. She told him that about 6:30 p.m. on October 30, approximately 48 hours before Dylan had been brought to the hospital, he had collided with Al-tum’s knee. Phipps was at work at. the time. When she got home after 10 p.m., Dylan seemed to be fine. Phipps told Dr. Piekert that Altum said Dylan had fallen back, then forward. Dylan was somewhat dazed but then roused and seemed to be all right. At trial, Phipps testified that she arrived home from work at 11 p.m. on October 30, that Dylan was asleep, and that she did not look *735 closely at him until the following day, when she saw a bruise on his forehead.

Altum’s mother testified that she checked on Dylan the evening of October 30 after being told by Phipps that she was concerned about Dylan’s hitting his head on Altum’s knee. Altum’s mother further testified that when she saw Dylan on the morning of November 1, she advised Phipps and Altum to take him to the hospital because he had a purplish color above his eye. This was a separate injury, Altum’s mother believed, from the one she had seen bn October 30. Although she was in the apartment for 20-25 minutes on November 1, she did not take Dylan out of his playpen or examine him. Altum’s mother stated that Phipps was reluctant to take Dylan to the hospital.

Dr. Pickert testified that a blow to Dylan’s head by Altum’s knee would not explain many of the physical findings. Dr. Katherine Melhom, a pediatrician who was consulted in this case due to her expertise in evaluation of children suspected of being abused, testified that Dylan’s many bruises were not inflicted all at the same time, which indicated a pattern of abuse. With regard to the head injuries, Dr. Pickert was of the opinion that the child had received multiple blows to his head, some “of a very severe nature.” Dr. Pickert further testified that the injuries were not consistent with an accident that had occurred 48 hours earlier. Dr. Melhom agreed. Nor were the injuries consistent with Dylan’s being fine at times after the injury, as Phipps described. In particular, Dylan’s critical state upon arrival at the hospital and subsequent rapid deterioration led Dr. Pickert to conclude that the injury actually occurred close to the time medical care had been sought.

Altum gave a statement to the police on November 3. First, he answered the police officer’s question about Dylan’s running into his knee on Monday, October 30. Then, after initially denying that anything unusual had happened on Wednesday, November 1, Al-tum told the officer that he had hit Dylan. He said that while Phipps was at work he had become angry because Dylan would not stop crying. He hit Dylan in the head, knocking him to the floor. Then he hit Dylan three more times while he was on the floor. Altum told police that the first blow was

*736 “with his right fist to the back portion of the top of Dylan’s head. The second blow he delivered with his left fist to the right side of Dylan’s head. The third blow was delivered with the right fist to the left side of Dylan’s head and the fourth blow was delivered with the right fist to Dylan’s forehead area.”

Altum told police, “I hit him hard.”

In spite of the medical efforts, Dylan’s brain continued to swell. On November 3, there was no evidence of brain function. The next morning, on November 4, the complete lack of brain function was confirmed. Dylan was pronounced dead, and the life support system was removed. An autopsy performed on'November 4 showed even more extensive bruising of the scalp than had been visible on the external surface of the head. The pathologist testified that it appeared that there had been “multiple impact[s] between that head and another object.” There were accumulations of blood between the skull and the surface of the brain. The brain was so swollen that it had forced its way downward into the neck through the hole at the base of the skull. The pathologist believed that Dylan showed signs of shaking injuries as well as impact injuries. In the opinion of the pathologist, “Dylan Cox died of blunt force injuries of the head and shaking injuries of the head.” He testified that the injuries were consistent with child abuse and inconsistent with the account of the child’s running into an adult’s knee. He further testified that four blows to Dylan’s head would explain some but not all the head injuries.

Dr. Melhom agreed with the pathologist’s conclusions.

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Cite This Page — Counsel Stack

Bluebook (online)
941 P.2d 1348, 262 Kan. 733, 1997 Kan. LEXIS 123, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-altum-kan-1997.