State v. Hughes

2018 Ohio 1237
CourtOhio Court of Appeals
DecidedMarch 30, 2018
DocketWD-16-056
StatusPublished
Cited by3 cases

This text of 2018 Ohio 1237 (State v. Hughes) is published on Counsel Stack Legal Research, covering Ohio Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Hughes, 2018 Ohio 1237 (Ohio Ct. App. 2018).

Opinion

[Cite as State v. Hughes, 2018-Ohio-1237.]

IN THE COURT OF APPEALS OF OHIO SIXTH APPELLATE DISTRICT WOOD COUNTY

State of Ohio Court of Appeals No. WD-16-056

Appellee Trial Court No. 2015CR0148

v.

Gilbert John Michael Hughes DECISION AND JUDGMENT

Appellant Decided: March 30, 2018

*****

Paul A. Dobson, Wood County Prosecuting Attorney, and David T. Harold, Assistant Prosecuting Attorney, for appellee.

Lawrence A. Gold, for appellant.

JENSEN, J.

{¶ 1} Appellant, Gilbert Hughes, appeals the October 6, 2016 judgment of the

Wood County Court of Common Pleas sentencing him to 8 years in prison. For the

following reasons, we affirm. I. Background and Facts

{¶ 2} On April 16, 2015, Hughes was indicted on one count of endangering

children in violation of R.C. 2919.22(B)(1) and (E)(2)(d), a second-degree felony. A jury

trial was held beginning on October 3, 2016. The state presented ten witnesses, including

the investigating officer; emergency services personnel; several doctors who treated the

victim, S.H.; a doctor who specializes in child abuse; and S.H.’s foster father. Hughes

presented seven witnesses, including his wife, who is S.H.’s mother; several of his wife’s

family members; and a pediatric neurology expert. The following facts were developed

at trial.

A. March 6, 2015 Incident

{¶ 3} On March 6, 2015, at 9:01 a.m., the Wood County Sheriff’s Office received

a 911 call about an unresponsive three-month-old baby in Bowling Green. When

paramedics arrived, they found that S.H. was not breathing and had no pulse. S.H. was

transported to Wood County Hospital, where she was stabilized. Her treatment included

the insertion of an intraosseous line to allow doctors to infuse medication directly into her

bone, the insertion of an endotracheal tube to pump oxygen directly into her lungs, the

use of a ventilator to breathe for her, and the administration of several doses of

epinephrine to help restart her heart. The emergency room doctor who treated S.H.

believed that S.H.’s respiratory arrest was caused by respiratory syncytial virus (“RSV”)

because S.H. had been admitted to the hospital with RSV a couple of weeks earlier.

{¶ 4} S.H. was transferred by air ambulance to the pediatric critical care unit at

Toledo Children’s Hospital because she was on a ventilator. Dr. Susan Tourner, the

2. critical care doctor who treated S.H., suspected that S.H.’s cardiac and respiratory arrest

were not related to RSV because S.H.’s chest x-ray was clear and it was uncommon for a

baby with RSV to improve for a period of time and then deteriorate to the point of

respiratory arrest. This led Dr. Tourner to suspect a brain injury, so she ordered a CT

scan. The scan showed subdural hematomas (which are areas of blood that collect

between the skull and the brain) on both sides of S.H.’s brain. The abnormal CT scan

prompted Dr. Tourner to seek an ophthalmological exam and a skeletal survey. The

ophthalmological exam showed that S.H. had severe hemorrhaging in all four quadrants

of both of her retinas. The skeletal survey showed that S.H. did not have any fractured

bones. Based on these results, Dr. Tourner asked Dr. Randall Schlievert, who specializes

in child abuse, to consult on the case. Several witnesses testified that S.H. did not have

any external signs of trauma or injuries, such as bruises or lacerations. The doctors who

treated S.H. in the critical care unit and Dr. Schlievert, the state’s expert, testified that

S.H.’s injuries were consistent with shaken baby syndrome (also called abusive head

trauma)1 even though S.H. did not have any visible external injuries.

B. The Experts’ Testimony

1. Dr. Schlievert’s Testimony

1 During his testimony, Dr. Joseph Scheller, Hughes’s expert, clarified the difference between the terms “shaken baby syndrome” and “abusive head trauma.” He explained that shaken baby syndrome is a type of abusive head trauma that refers narrowly to a group of three major symptoms: subdural hemorrhage, retinal hemorrhage, and abrupt alteration in consciousness. In 2009, the name was changed to abusive head trauma, a term that encompasses any nonaccidental head trauma, such as the trauma that occurs from a child being hit on the head with a baseball bat or thrown against something.

3. {¶ 5} Dr. Schlievert, who the court qualified as an expert in child abuse, provided

more in-depth testimony about shaken baby syndrome and S.H.’s injuries. Dr. Schlievert

defined shaken baby syndrome as a group of physical injuries, including subdural

hematoma, retinal hemorrhage, fractures, and brain damage that result from repetitive,

violent shaking of a baby. He said that shaken babies had bruising in only about half of

cases and fractures in only about 20 to 30 percent of cases. He explained that the typical

combination that leads to a caregiver shaking a baby is a baby who is crying and a

caregiver who is tired, stressed, or has failed to bond with the baby.

{¶ 6} Regarding S.H.’s injuries, Dr. Schlievert said that Dr. Tourner asked him to

examine S.H. because she showed signs of abusive head trauma. He noted that the

pattern of retinal hemorrhaging seen in S.H.’s eyes was indicative of abusive head trauma

and helped rule out other causes, such as blood clots, infections, and genetic conditions.

He also said that her CT scan showed subdural hematomas that were composed of both

fresh and old blood. He emphasized that the CT scan could not provide the exact dates

the hematomas occurred, but he believed that the appearance of the fluid was indicative

of a recent shaking incident and an earlier shaking incident. Dr. Schlievert said that a

baby exhibiting symptoms of a brain injury was a better indicator of when a shaking

event happens than the appearance of the brain on a CT scan. In S.H.’s case, she

exhibited apnea on February 20, which Dr. Schlievert said was mistakenly attributed to

RSV when it was actually likely caused by shaking. A shaking incident on February 20

would account for the old blood in S.H.’s CT scan. On March 6, S.H. exhibited

4. respiratory and cardiac arrest, which Dr. Schlievert attributed to shaking. Shaking on

March 6 would account for the fresh blood in her CT scan. Dr. Schlievert also confirmed

that S.H. did not have any external signs of injury or any broken bones.

{¶ 7} Dr. Schlievert also ruled out alternate explanations for S.H.’s injuries and

CT scan results. He said that S.H.’s MTHFR gene mutation could not account for her

medical condition on March 6 because the risk that the mutation would lead to a blood

clot is small and, although a localized clot could explain a subdural hematoma, it would

not explain the presence of other signs of abusive head trauma. Dr. Schlievert also

dismissed the likelihood that the old blood could be related to a birth injury because, even

assuming that a birth injury caused some later bleeding, it would not cause brain damage

and, thus, would not cause the serious symptoms S.H. had. In his opinion, S.H.’s injuries

were caused by someone violently shaking her.

2. Dr. Scheller’s Testimony

{¶ 8} To counter Dr. Schlievert’s testimony, Hughes presented Dr. Joseph

Scheller’s testimony. Dr. Scheller is a pediatric neurologist with special training in

reading CT and MRI scans. In preparing his report, Dr. Scheller reviewed S.H.’s medical

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2018 Ohio 1237, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-hughes-ohioctapp-2018.