State v. Lytle

231 N.W.2d 681, 194 Neb. 353, 1975 Neb. LEXIS 810
CourtNebraska Supreme Court
DecidedJuly 24, 1975
Docket39681
StatusPublished
Cited by30 cases

This text of 231 N.W.2d 681 (State v. Lytle) is published on Counsel Stack Legal Research, covering Nebraska Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State v. Lytle, 231 N.W.2d 681, 194 Neb. 353, 1975 Neb. LEXIS 810 (Neb. 1975).

Opinion

Spencer, J.

This is an appeal from defendant Abe Clark Lytle’s conviction after a jury trial of first-degree murder arising out of a purse snatching and assault under the felony-murder rule. Defendant was sentenced to imprisonment for life.

Defendant alleges five assignments of error: (1) The failure to suppress his confession for the reason that his arrest was unlawful and without probable cause; (2) the failure to suppress his confession, because of his minority he did not knowingly, intelligently, and voluntarily waive his constitutional rights; (3) the limitation of the cross-examination of defense counsel; (4) the overruling of defendant’s plea in abatement; and (5) the denial of defendant’s motion for a directed verdict because the evidence was insufficient as a matter of law to prove corpus delicti and defendant’s guilt beyond a reasonable doubt. We affirm.

The evidence permitted the jury to find that on the evening of October 28, 1973, Camille Hugg, age 81, was a victim of an attempted purse snatch by the defendant and one Joseph Hayes Harris. She resisted, clung to her purse, was knocked to the ground by her assailants, and was kicked and stomped. She suffered a broken hip, either from the fall or the blows. She was hospitalized, surgery was performed, and a pin inserted in the hip. She died on December 17, 1973, without having been released from the hospital. The defendants were tried separately. Harris’ conviction was affirmed June 5, 1975. State v. Harris, ante p. 74, 230 N. W. 2d 203.

We consider first defendant’s fifth assignment of error, because it is the one defense common to both the defendant and to Harris. Defendant concedes the attempted robbery of the victim, the kicking and stomping of her by Harris, and the defendant’s striking her in the chest. *356 Defendant, however, argues the proximate cause of death was the complications occasioned by the surgical procedure used to treat the victim’s hip and that these complications arose independently of the injury to the hip itself.

We briefly summarize the facts pertinent to this issue. After the assault, Mrs. Hugg was taken to the Douglas County Hospital emergency room where she was treated by Doctor Thomas Tomczak, who diagnosed her condition as a fractured hip. An examination of her the next day showed some abnormal heart beats which could have been due to stress caused by the injury. Mrs. Hugg’s personal physician, Doctor Thomas Gurnett, testified that as of July 1971, when he last examined Mrs. Hugg, who had been a nurse, she had minor intestinal, blood pressure, and skin problems, as well as diabetes, but was otherwise normal for a patient of her age. He served as her treating physician from October 31, 1973, until her death. He diagnosed her injury as an intertrochanteric fracture of the hip and a possible fracture of the sternum, which caused a respiration problem because of pain and tenderness. After consultation with an orthopedic surgeon, an operation was performed which consisted of nailing the two pieces of the hip together in order to immobilize it. After the surgery was performed, Mrs. Hugg began suffering from post-operative complications. Her heart action became irregular, medication was prescribed to control that situation, and anticoagulants were administered to prevent blood clotting. Doctor Gurnett considered the operation a success, and the patient was mobile and sitting up on several occasions after surgery.

As a result of the medication, the patient’s heart became regular within 36 hours. However, other complications set in. Blood clots were forming, but the use of anticoagulants had to be halted because Mrs. Hugg was developing a stress ulcer — a localized, punched-out area in the lining of her stomach — which became apparent *357 on November 13, 1973. Doctor Gurnett was of the opinion that these conditions arose as the result of the hip injury and the surgery. At times Mrs. Hugg was unable to consume food orally and was given blood transfusions as a result of the ulcer. There were spells during this period when she became incoherent and confused. Her condition deteriorated progressively thereafter. By November 16, her internal bleeding had stopped but her heart beat had become irregular. On November 22, her heart rate was rapid and irregular. This required more medication. On November 27, she complained of chest pain and breathing difficulty which Doctor Gurnett diagnosed as a blood clot breaking loose from the lower extremities and striking the left lung. On December 7, Mrs. Hugg complained of abdominal pain and diarrhea and a staph infection in her saliva gland developed, requiring treatment. At this point, her condition was deteriorating rapidly. She was loosing strength and her blood pressure and vital signs were no longer normal. She died on December 17, 1973.

Doctor Gurnett testified, based on reasonable medical certainty: “I believe Mrs. Camille Hugg’s death was caused by a fracture of the hip and the complications that followed directly in the wake of that fracture of the hip.” In response to a question as to whether Mrs. Hugg died from a heart attack, the doctor testified: “I believe my testimony was that these complications with the shock, in the wake of the injury that the patient received, were complications directly as a result of those injuries, and they were terminal events.”

Defendant argues that a new and independent intervening cause occurred between the time of defendant’s acts and the death of Mrs. Hugg. He argues that his actions in causing the hip fracture were not the proximate cause of the death. Rather, death was due to the intervention of severe infection and complications arising out of the doctor’s undertaking the surgical procedures over nonsurgical means of treatment. There is no *358 evidence in the record in any form, even by way of inferencé, that Mrs. Hugg would have recovered had the operation not been performed.

The opinion of the doctor was premised on his treatment and personal observation of Mrs. Hugg on a daily basis, from her admission to St. Joseph’s Hospital to the date of her death. It would appear that the evidence raised a factual question for the jury to determine under proper instructions from the court, whether the victim’s death was caused by acts of the accused or by independent, intervening acts or causes. Our holding in State v. Harris, ante p. 74, 230 N. W. 2d 203, where we dealt with this same issue, is controlling herein. We there said: “In a prosecution for homicide the act of the accused must be a proximate cause of death but need not be the direct, immediate cause. It is sufficient if the direct cause resulted naturally from the act of the accused, as where the direct cause was a disease or infection resulting from the injury inflicted by the accused. * * *

“In a prosecution for homicide it is not a defense to one whose act has contributed to the death that improper treatment on the part of physicians, nurses, or the victim also contributed thereto; but one who has inflicted an injury is not responsible for homicide where death results solely from erroneous treatment by another. * * *

“The proximate cause of a death is that cause which, in natural and continuous sequence, unbroken by an efficient intervening cause, produces the death, and without which the result would not have occurred.

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Cite This Page — Counsel Stack

Bluebook (online)
231 N.W.2d 681, 194 Neb. 353, 1975 Neb. LEXIS 810, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-v-lytle-neb-1975.