Opinion by
This case comes before this Court for the second time. In our previous decision,
The facts are undisputed. The record reveals that at about 3:00 a.m. on February 28, 1959, appellant was discovered at the entrance to the Mercy Hоspital in the City of Pittsburgh. A superficial examination disclosed a bullet wound in his abdomen and he was removed to the hospital where he was administered oxygen together with blood and intravenous fluids. The attending physicians decidеd that immediate surgery was necessary.
Between 4:00 a.m. and 5:45 a.m. a general anesthetic, comprised of a dose of pentothal administered intravenously and, subsequently, a gaseous mixture consisting of cycloprоpane-oxygen, was administered to appellant. Surgery commenced at 5:45 a.m. At this time, appellant’s condition was considered by his physicians to be critical.
During surgery, it was determined that the bullet had passed through appellant’s upper abdominal wall at a point opposite the ninth costal cartilage on the left side in the epigastric region. In the course of its trajectory, the bullet had penetrated the left lоbe of appellant’s liver and both walls of his stomach, passing through the gastro-colic omentum. It had also severed the pedicle of the spleen, passed through the diaphragm and the left chest and was found imbedded in the subcutaneous tissue surrounding the eleventh or twelfth rib of the left side of appellant’s bach.
The operation comprised the closure of the perforations of appellant’s liver, the anterior аnd posterior walls of his stomach, and the gastro-colic omentum. His spleen was removed, the damage to the left side of the diaphragm repaired, and the abdomen drained.
At 9:30 a.m., an injection of demerol, a narcotic, was administered appellant as a sedative. He also received other medications, including penicillin, strеptocmycin, Chloromycetin, and adrenosem. In addition, he continued to receive various fluids intravenously. As a result, six tubes, inserted at various stages in the operative and post-operative procedure, еmanated from appellant’s body: two for intravenous feeding, two from the chest, one from the abdomen, and one from the urethra.
At 1:00 p.m., some 4 hours after the completion of the surgery, an assistant district attorney, investigating the crimes for which appellant was subsequently convicted, entered the hospital room to speak to appellant. Permission for the interview was not secured from the attending physician nor was any еffort made to ascertain appellant’s condition.
While alone with appellant, the assistant district attorney questioned him for approximately 15 to 30 minutes. During the course of the conversation, the incriminating stаtement which is the subject of the present dispute was elicited from appellant.
The hospital records indicate that at 2:30 p.m., approximately one hour after the confession was obtained, appellant was listed as “speaking but very incoherent.” At 3:30 p.m., his condition was listed as unchanged. Progress reports during this period continued to characterize appellant’s condition as “critical” with occasional notations of lapses into semi-consciousness.
At the hearing below, the Commonwealth sought to establish the voluntary character of the confession through the testimony of two witnesses. The only direct testimony as to the circumstances of the confession was that of the assistant district attorney to whom the statements were made. Although he testified that appellant’s mental faculties did not appear impaired during the interview, he admitted that appellant had difficulty speaking and that he assumed appellant to be in pain. Moreover, he limited the scope of the questions because “[appellant] did not look as though he was in condition to go into minute details as we like to do when the circumstances permit.”
Dr. Biker, the Commonwealth’s expert witness, testified that the effects of the drugs and anesthesia administered appellant would have been dissipated at the time the confession was elicited. However, on cross-examination, he qualified his testimony and admitted that the totality of the circumstances cast doubt on appellant’s ability fco understand, to reflect upon, аnd to form intelligent answers to the questions propounded during the interview.
It is a basic and fundamental principle of constitutional law that a defendant in a criminal case is deprived of due process if his convictiоn is founded, in whole or in part, upon an involuntary confession. Jackson v. Denno,
Equally well established are the standards to be applied in making the ultimate constitutional determination. If the accused’s “will was overborne” or if his confession was not “the prоduct of a rational intellect,” the incriminating statement is not voluntary within the meaning of the federal constitution, Townsend v. Sain, supra at 307,
The nature of the question presentеd is such that “no single litmus-paper test for constitutionally impermissible interrogation has been evolved . . . .” Culombe v. Connecticut,
In reaching this conclusion, we are strongly influenced by the fact that the hospital records cast grave doubt upon appellаnt’s capacity to comprehend the nature of his circumstances and the consequences of his conduct at the time the confession was obtained. As the dissent in the Superior Court noted, “all of the records relating to appellant’s condition indicate that his state of orientation was compromised from 11:30 a.m. to 3:30 p.m. on the day of the interrogation. . . .” Commonwealth ex rel. Gaito v. Maroney,
It is, of course, quite possible that the challenged confessiоn may have been obtained while appellant was completely lucid and mentally competent. However, our judgment as to the effect of the circumstances under which the confession was obtained upon appellant’s mental capacity to confess must by its nature be one based upon probabilities. See Blackburn v. Alabama, supra at 208,
It is sufficient for present purposes to note that Dr. Siker’s testimony, when considered in its entirеty, raises no genuine issue of fact. It would be unreasonable to base a determination upon those portions of his testimony relating to the residual effect of the drugs at the time the confession was made while ignoring thоse portions in which he expressed doubt as to appellant’s competence to conduct himself in a fully rational fashion. Likewise, we have not overlooked the testimony of the assistant district attorney tо whom the confession was given. While the latter testified that appellant appeared in full possession of his faculties, the very fact that appellant’s condition prompted him to terminate the interview without fully exploring the incriminating admissions derogates from the weight to be accorded his testimony and precludes us from inferring that the statements were voluntary on the basis thereof.
Under such circumstances, we must consider the case as one in which the confession was not the product of a rational intellect. Cf. Malinski v. New York, supra at 410,
Accordingly, the order of the Superior Court is reversed. The order of the Court of Common Pleas of
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