This appeal is from judgments of sentence for third degree murder, kidnapping, conspiracy, robbery, and possession of a prohibited offensive weapon. Appellant argues that the trial court erred in admitting hearsay evidence of statements the victim made following his abduction. We have concluded that the evidence was properly admitted, and accordingly, affirm.
On September 18, 1980, Leonard Leichter and his wife, Dorothy Leichter, went shopping at the Acme Market in the Bala Cynwyd Shopping Center in Bala Cynwyd. N.T. 54-55. They arrived at the market at about 8:10 p.m. and parked in an adjoining parking lot about 175 feet from the entrance to the market. N.T. 55. By about 9:00 p.m. they had completed their shopping, and while Mr. Leichter went to get their car, Mrs. Leichter waited outside the market with their packages. Mrs. Leichter testified:
I saw him walk down the drive, kept watching, and he walked to the car, and I saw him go in between the cars, and I kept watching to see the back light to go on so I would know he would be coming back. In the meantime, *205 my attention was drawn to a little Volkswagen that sort of revved up, and then the light came on and they started to back out. And in the meantime, my husband’s car came on, and he started to back out. I thought it was he. And then I took my eyes away from that spot to pick the packages up to get them ready to put them in the car because they were down in the cart as I was picking them up. And then I looked up and he wasn’t there. I didn’t see what happened after they pulled out partway out of the parking lot.
Q. Your husband’s car was gone?
A. Well,—
Q. Your husband’s car was gone?
A. They were gone.
N.T. 2.58.
At 9:13 p.m. Mr. Leichter telephoned the police from a telephone booth at Montgomery Drive and Belmont Avenue. At trial, a tape recording of his conversation with the police dispatcher was played, N.T. 2.102, and a transcript of the recording was read, N.T. 2.86-2.93. Mr. Leichter first stated that he “just got held up,” and that he was “in the park at the phone booth.” N.T. 2.86. The conversation continued:
“Radio: How did it happen?
“Caller: I was coming out of the Acme in Bala, and my wife was waiting, and I walked to my car, and these guys were waiting for me.
“Radio: And what happened?
“Caller: They put me — I can’t talk. I have a heart condition.
“Radio: Yeah, well, just—
“Caller: They put me in the car, cleaned me out. They let me out down here.
They had a sawed-off shotgun on me ... [”]
N.T. 2.87-2.88.
Mr. Leichter then described his car, which his assailants had driven off with. N.T. 2.88. The conversation continued:
*206 “Radio: Two males?
“Caller: Yeah, two black ones and — and there was one in a — another one or two in a little Volkswagen was following.
“Radio: What colors on the Volkswagen?
“Caller: It was a ...
“Radio: Go ahead, just take—
“Caller: Like a dirty grayish blue.
“Radio: Uh-hum.' Where’s your wife, sir?
“Caller: She’s up there waiting for me at the Acme.
“Radio: Oh.
“Caller: She must know something happened by now.
“Radio: Yeah; just try, try to relax if you can. they’ll be right there.
“Caller: Okay.
“Radio: I’m gonna just keep you on the line.
“Caller: Okay.
“Do you have any medication that you could be taking or anything?
“Caller: Yeah, I got a nitro.
“Radio: You got it with you?
“Caller: Yeah, I took one.
“Radio: Okay.
“Caller: I’m having a little trouble breathing.
“Radio: Yeah, I — I know it’s tough to relax.
“Caller: Yeah, I—
“Radio: But — but the worst—
“Caller: I was very (unreadable) ...
“Radio: but the worst is over; I mean, at least— “Caller: Yeah, uh-huh.
“Radio: You know.
“Caller: Yeah, that’s all.
“Radio: I — I know it’s a frightening experience.
“Caller: The first time I ever had this happen.
“Radio: Yeah. (9:18:35 P.M.)
*207 If you have to go to the hospital, you just tell the police when they get there if that’s your condition.
“Radio: No, I don’t want — I don’t think I have to go to the hospital.”
N.T. 2.86-2.91.
As the dispatcher kept him on the telephone awaiting arrival of the police, Mr. Leichter stated on three further occasions that he was having difficulty breathing. N.T. 2.92.
At 9:22 p.m. the police arrived at the telephone booth. At trial Officer James Delaney testified as follows:
I asked him [Mr. Leichter] what had happened. He told me that he was leaving the Acme Market in Bala-Cynwyd en route to his car when he was accosted by two black males, point of shotgun, forced into the car and driven into Fairmount Park where he was dumped out of the car at Belmont and Montgomery Avenue. He went on to state that he believed there was another car involved. He said he felt he was being followed by a blue Volkswagen operated by another black male. I asked if he could give us any more of a description on the males. He said they were teen-agers.
He appeared very upset. He started to cough, seemed like he was very congested. At this point of our conversation, he stated to me that he was a heart patient and that he had just taken a nitroglycerine pill. He seemed short of breath and he said he needed oxygen. At that point, I placed him in the back of the emergency wagon, and we transported him up to the Osteopathic Hospital. N.T. 2.30-2.31.
The drive to the hospital lasted “about two and a half minutes.” N.T. 2.31. There, at about 9:30 p.m., Mr. Leichter and the police were met by Mary Beth Reese, an emergency room nurse. N.T. 2.104-2.106. She testified that Mr. Leichter was “very grayish, like an ashy color, and he was like diferetic [sic ], like profuse sweating.” N.T. 2.107. She stated: “He kept saying, you know, ‘Please help me be able to get my breath.’ ” N.T. 2.107. Nurse Reese further testified as follows:
*208 I asked him, “What happened?” you know, “Could you tell me, you know, why you are so upset?” because he was terribly upset. He just kept saying, “I’m having so much trouble breathing. I’m so frightened.” And, you know, he seemed so scared. I never — it was really difficult. I had to requestion him to find out. And then, you know, he said he had gone to the Acme with his wife for groceries, and he came out to go get the car, and there were a couple of guys that came, and you know, took him at gunpoint and robbed him and then took him in the car, then dropped him off. And it was like a couple of times, you know, I had to keep asking him questions. Then I tried to find out, you know, like a medical history, if he was on any medicines for any reasons or allergic in case I gave him something he was allergic to.
From there, we went over and we gave him oxygen and we did a cardiogram. And then we placed him on the cardiac monitor.
N.T. 2.106-2.107.
Mr. Leichter was treated for pulmonary edema, N.T. 2.119-2.120, but fifteen minutes after arriving at the hospital, he suffered cardiac arrest. N.T. 2.111. He died just after midnight. N.T. 2.62. At trial Dr. Stuart Friedman, the emergency room physician who treated Mr. Leichter, testified that the stressful situation that Mr. Leichter had suffered could have caused the cardiac arrest. N.T. 2.122-2.123. Dr. Robert Segal, Assistant Medical Examiner, testified: “Cause of death is arteriosclerotic cardiovascular disease aggravated by the robbery and kidnapping. The manner of death is homicide.” N.T. 3.23.
Defense counsel objected to admission of the tape recording and the transcript of the recording, Officer Delaney’s testimony, and Nurse Reese’s testimony. The trial court, however, overruled the objections and admitted the evidence under the “res gestae exception” to the hearsay rule.
-1-
To speak accurately, there is no “res gestae exception” to the hearsay rule; the exception so-called is in fact a catch *209 all exception that embraces several distinct, though sometimes overlapping, exceptions. As this case illustrates, analysis is aided if we ask whether the evidence in question is within one of the distinct exceptions, and forgo altogether any reference to “res gestae,” which has been rightly condemned as “a Latin phrase to serve as a substitute for reasoning,” Morgan, A Suggested Classification of Utterances Admissible as Res Gestae, 31 Yale L.J. 229, 229 (1922); as an expression that gives lawyers and judges “relief at a pinch,” Thayer, Bedingfield’s Case, 15 Amer.L. Rev. 1, 10 (1881); and as “a password for the admission of otherwise inadmissible evidence,” McCormick on Evidence 836 (Cleary ed. 1984).
In the hope, no doubt, of improving analysis, the Supreme Court in
Commonwealth v. Pronkoskie, 477
Pa. 132,
As we have recognized, “res gestae ” is actually a generic term encompassing four discrete exceptions to the hearsay rule: (1) declarations as to present bodily conditions; (2) declarations of present mental states and emotions; (3) excited utterances; and (4) declarations of present sense impressions.
Id., 477
Pa. at 136-37,
-2-
It will be helpful, before considering which of the four distinct exceptions identified in Pronkoskie may be applicable to the testimony in this case, to define each of the exceptions.
-a-
To come within the excited utterance exception to the hearsay rule, a statement must be:
“... a spontaneous declaration by a person whose mind has been suddenly made subject to an overpowering emotion caused by some unexpected and shocking occurrence, which that person had just participated in or closely witnessed, and made in reference to some phase of that occurrence which he perceived, and this declaration must be made so near the occurrence both in time and place as to exclude the likelihood of its having emanated in whole or in part from his reflective faculties.” Allen v. Mack,345 Pa. 407 , 410,28 A.2d 783 , 784 (1942).
Commonwealth v. Pronkoskie, supra477 Pa. at 137-38 ,383 A.2d at 860 .
The justification for the excited utterance exception is that “a spontaneous declaration of an individual who has recently suffered an overpowering and shocking experience is likely to be truthful.”
Commonwealth v. Cheeks,
The spontaneity of such statements is, of course, dependent on the peculiar facts and circumstances of each case. We have held that time lapses equal to and greater than that present here do not bar the admission of a statement *211 where the spontaneity born of excitement is otherwise satisfactorily shown to exist. Commonwealth v. Banks,454 Pa. 401 ,311 A.2d 576 (1973) (15-20 minutes); Commonwealth v. Cheeks,423 Pa. 67 ,223 A.2d 291 (1966) (45 minutes). We have also held repeatedly that the mere fact that a statement is made in response to a question does not prevent its admission as a res gestae statement. Commonwealth v. Banks, supra; Commonwealth v. Edwards,431 Pa. 44 ,244 A.2d 683 (1968); Commonwealth v. Stokes,409 Pa. 268 ,186 A.2d 5 (1962); Commonwealth v. Rumage,359 Pa. 483 ,59 A.2d 65 (1948); Commonwealth v. Harris,351 Pa. 325 ,41 A.2d 688 (1945). It is true, of course, that in some instances the time lapse may be so long or the question and answer exchange so unhurried and reflective as to require a finding of nonspontaneity,____
Id.,465 Pa. at 41-42 ,348 A.2d at 107 .
In considering the facts of the particular case, the courts have considered: (1) whether the declarant in fact witnessed the startling event,
Commonwealth v. Pronkoskie, supra
(child declarant did not see “Daddy sho[o]t Mommy”); (2) the time that elapsed between the startling event and the declaration,
see Commonwealth v. Robinson,
-b-
Cases involving the present sense impression exception to the hearsay rule are infrequent. This exception requires that the declarant see the event and make an observation about it to another person also present at the scene; the observation must be made at the time of the event, or so shortly thereafter that it is unlikely that the declarant had the opportunity to form the purpose of misstating his observation. McCormick,
supra
at 860-62. Commentators have generally characterized the occurrence giving rise to the declaration as an
unex
citing event.
See
Thayer,
supra
at 83; Morgan, Res Gestae, 12 Wash.L.Rev. 91, 98;
but see
Wigmore Evidence § 1747 (Chadbourn rev. 1976). Reliability is considered assured by the contemporaneousness of the statement, and by the fact that the observation is made to another person. McCormick,
supra.
As McCormick has observed, in many cases the occurrence has in fact been an exciting event.
See
McCormick,
supra
at 861 n. 10.
And see Commonwealth v. Coleman,
The leading case involving the present sense impression exception is
Houston Oxygen Co., Inc. v. Davis,
In
Commonwealth v. Farquharson, supra,
the Supreme Court, relying on this court’s decision in
Commonwealth v. Craven,
-c-
We are aware of no Pennsylvania appellate case that has expressly cited the exception to the hearsay rule for statements of present physical condition to hold a statement admissible. In two cases, however, statements describing present physical conditions were considered under the rubric of the “res gestae.”
In
Thompson v. City of Philadelphia,
Cody v. S.K.F. Industries, Inc., supra,
is another case which may appear to involve the exception for statements of present physical condition. Closer examination reveals, however, that, as we did in
Thompson,
the Supreme Court considered the statements within the exception for excited utterances. There, the plaintiff’s decedent had been “struck on the head and knocked to the ground by an overhead garage door” while at work.
Id.
The law has continued to develop the concept of the exception for statements of present bodily condition. Perhaps the most influential formulation of the exception is in the Federal Rules of Evidence, Rule 803(4), which makes admissible, “even though the declarant is available as a witness,” “[s]tatements made for purposes of medical diagnosis or treatment and describing medical history, or past and present symptoms, pains, or sensations, or the inception or general character of the cause or external source thereof insofar as reasonably pertinent to diagnosis or treatment.”
*216
And see United States v. Iron Shell,
-d-
Finally, there is the exception for statements of present mental condition. Here it is important to distinguish between a case in which the declarant’s state of mind is itself relevant, and a case in which the declarant’s state of mind is relevant not in itself but as the basis of inferring that because his state of mind was such — and—such, the declar-ant took some future action.
See, generally,
McCormick,
supra
at 842
et seq. And see
F.R.Evid. 803(3). As an example of the first sort of case: if it is relevant whether the declarant loved his wife, whether he did may be proved by a statement of how he regarded her. The leading example of the second sort of case is
Mutual Life Insurance Co. v. Hillmon,
These principles have been recognized in our law, although the cases are sparse. A careful discussion appears in
Ickes v. Ickes,
declarations indicating the state of mind at the time of their utterance ... is produced, sufficient to show a then present intention, or state of mind, it may be assumed to have continued and formed the motive which controlled the doing of a subsequent act following closely thereafter, if under all the surrounding circumstances one would actually associate the two together; and it is for the jury to draw the conclusion.
Id.,237 Pa. at 591 ,85 A. at 888 .
And see Smith v. Smith,
-3-
We are now in a position to consider the admissibility of the evidence of Mr. Leichter’s statements to the police dispatcher, Officer Delaney, and Nurse Reese. Plainly, all of these statements were hearsay, for they were made out of court, and were offered for their truth — that Mr. Leichter was robbed and kidnapped at gun point, and that as a result he experienced physical distress, which lead to his death. We must therefore ask whether the evidence falls within any of the four exceptions to the hearsay rule identified in Commonwealth v. Pronkoskie, supra.
*218 -a-
We may start with the present sense impression, or Houston Oxygen, exception, for it is readily apparent that this exception is not available. In the first place, in none of his statements did Mr. Leichter describe an event that he was then observing. It is true that in his statements over the telephone to the police dispatcher he described events— his abduction, robbery, and abandonment in the park — that had very recently occurred, and arguably, might be found to have occurred so soon after his description of them as to be “present” enough to be within the present sense exception; especially might this be said of his abandonment in the park. Even so, however, the exception is not available, for Mr. Leichter did not make his descriptive statements in the presence of another person who also was at the scene. As we have seen in discussing Houston Oxygen, the requirement that there be such a person is critical to providing the assurance of reliability needed to warrant admission of a statement as within the present sense impression. We are mindful of the fact that the opinion of the Chief Justice in Commonwealth v. Coleman, supra, may be read as not requiring the presence at the scene of someone in addition to the declarant; thus, the mother was not at her daughter’s apartment and therefore was unable to observe the events that her daughter was describing. However, it will be recalled that the mother was able to hear shouting in the background, so that there was at least some corroboration of the accuracy of her daughter’s description of what was happening.
-b-
At least one of Mr. Leichter’s statements was admissible as within the exception for statements of present mental condition, specifically, his statement to Nurse Reese, “I'm so frightened.” This evidence of mental condition was relevant to the determination of the cause of Mr. Leichter’s death. It is also arguable that Mr. Leichter’s statements to the police dispatcher were statements of present mental *219 condition. At least, the responses of the dispatcher indicate that he understood Mr. Leichter as saying that he was frightened and worried. (See, e.g., Mr. Leichter’s statements, “I’m having a little trouble breathing,” and “The first time I ever had this happen”, and the dispatcher’s responses, “I know it’s tough to relax;” “But the worst is over ...; “I know it’s a frightening experience.”). Nevertheless, Mr. Leichter did not directly state his mental condition, as he did to Nurse Reese, and it is better to regard his statements to the dispatcher as not hearsay at all but rather as circumstantial evidence, that is, as evidence from which his mental condition could be inferred. In this regard, we note that the principle illustrated by Mutual Life v. Hill-mon, supra, is not implicated here, for there was no issue whether, because he was frightened, Mr. Leichter took some action in the future.
-c-
Many, and as we shall see, arguably all, of Mr. Leichter’s statements were admissible as excited utterances.
Appellant concedes that “there can be no doubt that Decedent’s having been kidnapped and robbed by three men at shotgun point was an event sufficiently startling to satisfy the first element” of the excited utterance exception, that is, that the declarant experienced a startling event. Brief for Appellant at 9 (citing Commonwealth v. Cooley, supra). He argues, however, that none of Mr. Leichter’s statements was a spontaneous reaction to that startling event. With regard to Mr. Leichter’s statements to the police dispatcher appellant points out that in response to a question of the dispatcher, Mr. Leichter stated that he did not think he needed to go to a hospital. N.T. 2.91. Appellant further notes that in his call to the dispatcher Mr. Leichter expressed concern about his wife, N.T. 2.32, and that when he arrived at the hospital with Officer Delaney, he declined a wheelchair, N.T. 2.40. Appellant maintains that these circumstances suggest that Mr. Leichter’s statements to the dispatcher and Officer Delaney were “so *220 unhurried and reflective as to require a finding of non-spontaneity.” Brief for Appellant at 9 {quoting Commonwealth v. Little, supra). Appellant also argues that since Mr. Leichter’s statements to Nurse Reese were preceded by his statements to the police dispatcher and Officer Delaney, they lost the required spontaneity.
We are not persuaded by this argument. In our view, the record demonstrates that Mr. Leichter’s statements, even though made some time afterwards, were nevertheless a spontaneous reaction to a startling event. We may explain this conclusion by examination of three cases: Commonwealth v. Cheeks, supra; Commonwealth v. Little, supra; and Commonwealth v. Green, supra.
In Cheeks, after the victim had been stabbed, slow of gait as the result of a stroke, [he] walked directly to his sister’s home about five blocks distant. When he arrived his appearance was described “like he had been beat” and “crying.” Very shortly after his arrival, he told his sister that four unknown boys had assaulted and robbed him, and that one of the boys was wearing a patch over his eye.
423 Pa. at 69 ,223 A.2d at 292 (footnote omitted).
After the victim had changed his clothes, he told his sister that “those boys did cut me.”
Id.,
The facts of
Little,
on which appellant principally relies, may be usefully compared with the facts of
Cheeks.
In
Little,
the victim of a gunshot wound was found semi-conscious at about 3:00 a.m. One hour later, a police officer unsuccessfully attempted to interview him. The police offi
*221
cer returned at 9:15 a.m., and after a discussion of about five minutes, the victim identified appellant as his assailant. In holding the statement of identification inadmissible, the Court noted the six-hour delay between the incident and the statement, that the victim had been removed from the scene of the crime, that the victim may have had discussions with others during the six-hour delay, and that the statements were “anything but spontaneous.”
Green
is like
Little.
There, the Court found that a statement given to the police following a rape lacked the requisite spontaneity because it was given in the form of narration, three and one-half hours after the incident, and after the victim had reported the incident both to her mother and to another investigating officer.
Mr. Leichter’s statements to the dispatcher and the circumstances surrounding it are strikingly similar to the statement of the victim in Commonwealth v. Cheeks, supra, and the circumstances there. This is so despite the fact that some of Mr. Leichter’s statements were in response to questions, that he showed concern for his wife, and that he stated that he didn’t think that he needed to go to the hospital. It is clear that Mr. Leichter was in grave distress and that his statements were not the product of reflection or design. He had just been abandoned in the park by his assailants. Although, as in Cheeks, he had to travel some distance to reach the telephone booth, still, his call to the police was placed only some fifteen to seventeen minutes after the incident. When he reached the police dispatcher, Mr. Leichter’s first words described the incident, and his ensuing statements to the dispatcher, and the dispatcher’s responses, leave no doubt that during the entire telephone call Mr. Leichter remained under the stress of the incident.
*222 Mr. Leichter’s statements to Officer Delaney and Nurse Reese present somewhat different questions, for they implicate some of the concerns raised in Commonwealth v. Little, supra, and Commonwealth v. Green, supra. In Little, as we have indicated, the Court did not know from the record whether, in the six hours that intervened between the incident and the victim’s statement to the police, the victim had discussed the incident with others, and in Green, there was evidence of record that in the three and one-half hour time lapse, the victim had discussed the incident with two other persons before giving the statement in question. Thus in both cases the lapse of time, the narrative form of the statements, and the fact that the victim had or may have had the opportunity to reflect upon the incident and to discuss it with others, in combination compelled the conclusion that the statements were not spontaneous. Here, the circumstances surrounding the statements to Officer Delaney and Nurse Reese were far different. The statements were made within one-half hour to forty-five minutes of the incident. They were made under the continuing and uninterrupted stress arising from the incident. They repeated, without alteration, the statement already made to the dispatcher. And Mr. Leichter had no opportunity to discuss the incident with anyone else, or to reflect upon it. Thus, despite the fact that Mr. Leichter’s statements to Officer Delaney and Nurse Reese appear from the record to have been in narrative form, and were preceded by at least one other account of the incident, we are satisfied that they were free of reflection and thus admissible as excited utterances.
-d-
Finally, we also conclude that Mr. Leichter’s statements to Nurse Reese were admissible as statements of present physical condition, quite independently of their admissibility as excited utterances. The statements described Mr. Leichter’s physical condition; they were made so that his condition could be diagnosed and treated; and while they described the cause of his condition, — his abduction *223 and robbery — this description was immediately relevant to his diagnosis and treatment, which is to say, in giving it, he must have thought of himself as giving information that would enable the hospital to help him. The statements therefore carried a “strong assurance of reliability”, McCormick, supra at 839, and were properly admitted.
We recognize that this conclusion may seem to go beyond the holding in Cody v. S.K.F. Industries, Inc., supra, but we are satisfied that it does not. It is true that in Cody the statements were to a doctor, rather than to a nurse. However, as we read Cody, the important fact there was that the statements were to medical personnel, not that they were to a doctor rather than to a nurse. The Court’s concern was with the probable reliability of the statements, and as to that, it would make little if any sense to distinguish between a doctor and a nurse; a patient in distress is unlikely to lie to either. As we have mentioned, under the Federal Rules of Evidence, F.R.Evid. 803(4), and in McCormick’s view, it is immaterial whether the statements were made to a doctor or nurse; “[a statement] made to a hospital attendant, ambulance driver, or member of the family may qualify.” McCormick, supra at 840 (footnote omitted). If the law in Pennsylvania has moved this far, then Mr. Leichter’s statements to Officer Delaney, on the way to the hospital, regarding his being a heart patient and needing oxygen, would also be admissible as statements of present physical condition. However, we need not now decide this point. 3
Affirmed.
Notes
. In
Craven,
the declarants were prisoners in Holmesburg Prison in Philadelphia. They had been sent to the "Klondike," an area where as punishment prisoners received reduced rations and were subjected to steam heat. Twenty-five prisoners were thus tortured over one weekend, and four of them died. The prisoners described the cells in the “Klondike” as “like ovens” with "the doors and walls ... so hot that it was impossible to touch them without receiving burns.” The warden was convicted of involuntary manslaughter, and on appeal it was argued that testimony of "complaints of the prisoners and of requests to the guards that [the warden] come to Klondike,”
. It was also held that Mrs. Reichman’s testimony was not admissible as a spontaneous utterance.
. In its brief the Commonwealth argues that all of Mr. Leichter’s statements were also independently admissible as dying declarations. Brief for Appellee at 7 n. 4. To qualify as a dying declaration, the statement must be made "by a declarant while believing that his death was imminent, concerning the cause or circumstances of what he believed to be his impending death.” F.R.Evid. 804(b)(3).
See Commonwealth v. Miller,
