History
  • No items yet
midpage
Parrish v. Cleveland
372 F.3d 294
4th Cir.
2004
Check Treatment
Docket

*1 affirm the dis- Accordingly, Proceed interest. we Jury In re Grand own conduct. (4th judgment. trict court’s Cir. ings, 727 F.2d 1355-56 1984). par occurs when Implied waiver AFFIRMED voluntarily has ty claiming privilege giv on a confidential information

disclosed subject party matter to a not covered en by privilege. Sweeney, 29 F.3d at However, unilaterally not attorney may an Joseph PARRISH, Rep R. Personal enjoys. that his privilege waive the client Tony LEE, resentative of Marcel protect product to nor ability work “[T]he deceased, Plaintiff-Appellee, attor mally to clients and extends both v. client, neys, attorney or the ex CLEVELAND, conduct, can forfeit Paul Defendant- pressly byor waive or Appellant, Doe, it, as to re himself.” added) (internal (emphasis F.2d at 1079 omitted). citation Virginia; Frank Commonwealth Newman; Baldassari; Kevin Kevin Roy’s Roy unilateral disclosure of Ponsart; Thompson; Paul Doo John nothing us whether Report thus tells about Wancik; ley; Garlow; Kevin Brian right has its to withhold USAID waived Fairfax; County of John Thomas Roy Roy attorney as an could Report. Manger, capacity in his as official right USAID’s without USAID’s waive County Fairfax Police Chief of the properly consent. Here district court Department; Barry, in his Stan G. held that the fact had not author- USAID capacity official as the Sheriff Roy report ized to meant that disclose County, Virginia; Does Fairfax John Exemption had not 5 of USAID waived 1-20; 1-20, Does Jane Defendants. fact, Roy’s FOIA. In contract with CDM expressly Roy was to send the stated Parrish, Joseph Represen R. Personal report only to and USAID. NOPWASD Tony Lee, tative of Marcel de point any to Hanson fails conduct ceased, Plaintiff-Appellee, USAID, NOPWASD, sug- or CDM that their gested that intended waive Thompson; Dooley, Paul John attorney product exemption. work Defendants-Appellants,

rv. Cleveland; Paul Commonwealth Of Vir right government The has same Newman; ginia; Frank Kevin Baldas legal anticipation undisclosed advice sari; Ponsart; Garlow; Kevin Kevin litigation private party. as And there Wancik; Fairfax; County Brian gov- nothing prevents FOIA that Manger, John Thomas his official drawing counsel ernment from confidential capacity as Chief the Fairfax Coun Allowing disclo- private Barry, sector. ty Department; Police Stan G. ability agency’s an impair sure here would capacity his official the Sheriff prepare effectively litigation County, Virginia; of Fairfax John thereby 1-20; 1-20, private parties and thwart its abil- Does Jane Does Defen ity discharge public its functions in the dants. *2 Represen Parrish,

Joseph Personal R. Lee, Tony de Marcel tative Plaintiff-Appellee, ceased, Wancik, Garlow; Brian Kevin Defendants-Appellants, Cleveland; of Vir Commonwealth Paul Newman; Kevin Baldas ginia; Frank Thompson; Ponsart; sari; Paul Kevin County Fairfax; Dooley; John Manger, in his official Thomas John the Fairfax Coun capacity as Chief of Barry, Department; ty Stan G. Police capacity Sheriff in his official County, Virginia; John Fairfax 1-20, 1-20; Defen Does Does Jane dants. 02-2308.

Nos. 02-2306 to of Appeals, Court United States Fourth Circuit. Argued: Oct. 18, 2004. Decided: June *3 Ross,

ARGUED: Robert Marvel Assis- County Attorney, County tant Office Fairfax, Attorney, Virginia; John J. Brandt, Brandt, Jennings, Roberts & Snee, P.L.L.C., Church, Virginia, Falls for Grenier, Appellants. Christopher Peter Grenier, L.L.P., D.C., Bode & Washington, Appellee. for BRIEF: ON David P. Bobzien, County Attorney, Peter D. An- dreoli, Jr., Deputy County Attorney, Office County Fairfax, Attorney, Virginia; Parrish, Brandt, James R. Jennings, Rob- Snee, P.L.L.C., Church, Virgi- erts & Falls nia; Fudala, Surovell, Markle, David J. Isaacs, P.L.C., Fairfax, Levy, Davis & Vir- ginia, for Appellants. Jay Singer, Saul Grenier, L.L.P., D.C., Washington, Bode & Appellee. for LUTTIG, WILLIAMS, Before KING, Judges. Circuit Reversed and remanded with by published instructions opinion. Judge separate WILLIAMS wrote a opinion and judgment announced the at the court. Judge opinion KING wrote an concurring judgment. LUTTIG wrote a dissenting opinion.
OPINION

WILLIAMS, Judge: Circuit

Early 22, 2001, evening May Fairfax County police officers arrested Tony suspicion Marcel Lee on of being public. drunk in processing After Lee at a placing substation and a “spit mask” over head, placed the officers the hand- cuffed Lee in the police back of a van to center, transport him to an adult detention shirtless, intoxicated, appeared for intox- care was available medical where route, mouth, drooling En Lee vomited from his and had several icated detainees. revealed the autopsy body. An later died. cuts abrasions across his Cleve- gastric aspiration to be cause of death suspicion land Lee under arrest on Lee’s asphyxia, with positional content him in being public, drunk handcuffed being alcohol content blood percent 0.35 practice, placed accordance standard Joseph R. contributing Appellee cause. cruiser, him back of his and drove Parrish, representative acting personal him to the Satellite Intake Mount Vernon Lee, indi- brought against suit the five for (the station) Facility police processing. handled Lee while he vidual officers who along way Lee vomited several times (the “officers” or “individu- custody inwas Upon station. his arrival *4 defendants”), raising variety a of state al station, police Cleveland was met in the claims, including claims that and federal sally port by Thompson area Paul Officer Lee’s Four- of the officers violated each Brian Deputy and Sheriffs Wancik and rights in Amendment Due Process teenth Garlow, all of are co-defen- Kevin whom a deliberately indifferent to that each was in ar- Thompson dants this case. When harm to Lee.1 The physical risk of serious scene, lying prone rived at the Lee in summary judgment to court denied district cruiser, of the in the back with his feet the officers, summarily rejecting their as- the floorboard area behind the driver’s seat immunity. The offi- qualified of sertions and his head on the seat the back behind immuni- qualified the denial of appeal cers passenger seat. On the floorboard behind ty, and we reverse. and beneath head passenger the seat Lee’s quantity liquid appeared was a of

I. and be a combination of vomit mucous. on his Lee also had some this substance A. effort, Cleveland, After some shoulder. most favorable the Viewed Thompson, and Garlow were able Wancik Bass, 525, 106 plaintiff, v. F.3d Winfield seat of get upright Lee to sit the back (4th Cir.1997) (en banc), the relevant 535 pavement feet on the the cruiser with his evening of facts are as follows. On the point, the At this the outside cruiser. 2001, Paul May Officer Cleveland large a that Lee had officers observed County Department, Police the Fairfax his mouth and quantity of fluid inside below, responded to one of the defendants him to it out. Lee refused to do spit asked larceny at a convenience store. reported a rolled the contents around so and taking description alleged a After L. Doo- Lieutenant John mouth. Second the convenience store perpetrators from case, a in this over- ley, also defendant attendant, searched the area Cleveland exchange and recommended heard this man, a later identi- nearby and discovered large garbage aget that one of the officers Lee, adjacent area fied as a wooded spat into spit for Lee to in. When Lee can descrip- matched one of the the store who can, noticed garbage Deputy the Wancik provided by the attendant. Lee was tions argument cross-appeal prior to oral against ish’s 1. Parrish also raised claims Fairfax chief, jurisdiction in accordance with our County, county police and the coun lack of Waters, holding Taylor 81 F.3d ty (collectively, "municipal defen sheriff 1996). (4th Accordingly, dants”). we do not dis granted'summary Cir. The district court defendants, municipal against the claims judgment municipal which cuss further cross-appealed. defendants. We dismissed Parr Parrish Wancik, expectorated substance Lee Like the other officers had nei- (J.A. 684-85.) any ther formal specks.” training at on the use of the contained “red TranZport any Hood or type spit other attempted spit had not Although Lee mask, any nor experience direct in the use anyone, drooling heavily at Cleveland, spit Dooley, masks. was intoxicated. Given intoxicated agreed Garlow nonetheless with Wancik unpredictably to behave individuals tend that the use of the mask was warranted knowing officers would be under the circumstances. Wancik Lee, that, handling decided Wancik based the mask over Lee’s head while Lee was seen, specks “spit on the red he had cruiser, seated the backseat of ap- used on Lee to prevent mask” should be plying mask so that Lee’s nose spread any pathogens bloodborne filtering was not covered fabric.4 carrying. that Lee re- Wancik Wancik, According to loosely the mask fit “TranZport Hood”2 spit trieved mask neck, around Lee’s so that if liquid cabinet, from it filing removed from its were to flow into the Lee’s sally returned to packaging, port mouth, “easily” would flow out of the area the other officers where were attend- (J.A. 439.) bottom. During forty- ing experience to Lee.3 had no Wancik five minutes to one hour from the time *5 TranZport specifically with the Hood and that Wancik the mask Lee’s over previously any type spit never had used head until the time left in police Lee on a detainee. van, Lee was conscious and able to com- returning cruiser, Upon Cleveland’s During period, municate. this time the other if they Wancik asked did not vomit or indicate that he needed to vomit,5 thought spit that the mask should although be used. he did spit into the mask TranZport specifically designed packaging. 2. Hood is The Those instructions state to be used on detainees when a risk of offi- TranZport Hood should not be used on an exposure present. cers' to infectious disease is vomiting: individual who is "DO NOT USE mask, exemplar provided part The as of the anyone vomiting, having difficulty that is joint appendix, shaped bag a like or hood breathing, bleeding profusely or is from the goes entirely and over the (J.A. detainee's head and vol.V.) mouth or nose area." top- neck and consists of three sections. The Throughout opinion, his the dissent states portion most of the mask is made of fine spit that the mask fit over Lee's "mouth and nylon netting open see-through that is See, e.g., post (emphasis nose." at 314 add- top and covers of the detainee’s head ed). Although technically an accurate state- portion to beneath the nose. The middle entirety ment—the mask in its fit over mask, Lee's beginning sepa- below the nose and description head—this of the mask’s fit should top portion by rated from the a thin elastic misimpression not create the that the wide, bacteria one-quarter band that is less than inch nose, filtering medical fabric fit over Lee's bacteria-filtering is made of a breathable which it did not. very loosely medical fabric that covers the detainee’s mouth and chin area. The medical Throughout opinion, the dissent calls form-fitting, fabric is not but rather acts as a 313, 314-15, "vomiting Lee a at man.” Post pouch around the wearer's head. Beneath suggests 324. This characterization that Lee bacteria-filtering medical fabric is the bot- vomiting repeatedly continuously section, tom-most a four-inch sleeve made of throughout explained his detention. As gauzy lightweight elasticized material that above, text Lee did not vomit from the time snugly, although tightly, fits around the station, when, upon he was unloaded at the easily detainee's neck and is stretchable or officers, request expectorated he expandable. containing specks, fluid the red to some un- 3. Wancik did not read the directions that time on known the ride to the adult detention the manufacturer included in the mask's center. (J.A. 1472), and “sleepy,” at had become any fluid No one observed times. several deputy “agitated” with a sheriffs who was of the mask. the bottom flow out of (J.A. examination, assisting Earl with mask over placed the After Wancik 1470). during her exami- point At some head, Thompson es- Lee’s Cleveland nation, the officers about EMT Earl asked Shortly there- into the station. corted Lee specifically the mask and in- the use of after, and had Thompson left the station might happen what should quired about Lee. Inside the further contact with no the mask over his head. Lee vomit with station, conducted a records Cleveland (in of the officers all likelihood Wan- One (which that Lee revealed check on Lee cik, Earl later could not although EMT being twenty-one times been arrested one)6 explained that the vomit recall which 2001) public between 1987 drunk of the mask. would flow out the bottom charging an arrest warrant and obtained in the record that There is no evidence while the being public, drunk Lee with Earl, pres- then person EMT or other During this Lee. other officers monitored ent, questioned this assessment of officers noticed small period, time fit or cautioned the officers about mask’s forehead and decided to on Lee’s abrasion associated with the any risk to Lee County Fire and Rescue Fairfax call the mask. injury to assess this as well Department EMTs had examined Lee and Kathleen After the of intoxication. EMT Lee’s level warrant, Carson, had obtained the Cleveland Firefighter Roosevelt Earl and that, although he was emergency officers determined were trained both whom conscious, (EMTs), Lee was too intoxicated to be responded medical technicians station, and decided that held at the in the station. EMT and examined Lee Lee to the transport should through the net Cleveland Earl saw the abrasion *6 medi- mask, and, center where better the offi- adult detention given of the portion it. available should Lee need that Lee cal care was possibility cers’ concern about that, in accordance with Dooley to conduct directed EMT Earl decided might spit, procedure,” and Cleve- removing “accepted practice of Lee without the examination special- that had been police land use a van not hinder EMT the mask. The mask did (J.A. transport prisoners.7 evaluation, ly modified and she concluded Earl’s 1332.) front seat of the van was at The injury require did not treat- Lee’s head by metal the back area a separated Earl told that Lee was ment. EMT was in the middle. a small window intoxicated, divider with and she herself noticed into a separated The back of the van was person with a his demeanor was consistent by an- right a chamber chamber and appeared left who was intoxicated —he van, seats, Dooley back of the light whereas in the the facts in the most 6. Because we view Parrish, interpret figured, this evi- Lee would have we favorable and the other that, evening, indicate on that dence to be at less out and would more room to stretch the mask's expressed contrast, this view about Wancik Lieuten- injuring himself. In risk of fit. transporting in- stated that ant Brenda Akre police a van "was the individuals in toxicated conflicting in the rec- are statements There procedure because accepted established and transporting regarding Lee ord the motive up wagon to clean should is much easier police police instead of a cruiser. van (LA. during transport.” at prisoner vomit that, Dooley testified in the backseat Officer 1332.) this evidence is material To the extent cruiser, up- seated Lee would not remain conflicts, most we view it in right might bang head on the and thus his to Parrish. favorable plexiglass the front and back divider between during at the so that he would remain on his side divider was solid other metal top. mesh at the The open not transport. bottom The officers did remove sixty-seven long was inches right and, chamber accordance with stan- thirty-four inches wide. approximately hands police practice, dard left Lee’s high occupied bench four- A thirteen-inch No cuffed behind his back. one rode with chamber, inches of the width teen inLee the rear of the van. space approximately floor leaving a thus Cleveland then drove to the adult deten- right The chamber twenty inches wide. center, trip approximately tion that took narrower than the left and slightly

was 30 minutes. Because the van’s intercom van not visible to driver working, ability was not Cleveland’s The van had an through the window. impaired. hear Lee was but, as Cleveland discovered intercom van, sys- checking the the intercom while arrived at the adult When Cleveland working. not tem was attempted detention center and to rouse Lee, A respond. Lee did not sheriff’s Cleveland, position, van was in Once the deputy assisting who was Cleveland then Dooley, and Garlow carried Lee Wancik called for medical assistance. Cleveland They accompanied van. were out to the remained with Lee and continued to at- deciding place EMT Earl. In how to tempt to rouse him until the medic van, arrived. a number of factors con- First, The medic removed Lee’s mask and officers. the officers de- noted cerned the placed termined that Lee should not be on that it contained vomit. The medic at- he the bench because of the risk would roll tempted CPR but was unsuccessful. Lee Next, injure Dooley off of it and himself. transported was then Fairfax Inova expressed possibility concern about the of Hospital, pronounced he dead where positional asphyxiation, which can occur p.m. subsequent autopsy at 11:06 A re- person placed when an intoxicated on his “aspiration vealed the cause of death to be stomach with his hands restrained behind positional asphyxia” with a contribut- back, that Lee and determined should ing being cause “ethanol intoxication.” on his stomach. Most im- (J.A. 280.) Lee’s blood alcohol content Dooley Earl portantly, and EMT ex- percent. was 0.35 pressed concern that Lee vomit

while the van and thus determined that B. he should not be on his back either. Parrish, acting personal repre- as Lee’s Dooley accordingly directed that Lee be sentative, against filed suit a number of placed on his side on the floor of the van capac- individual officers in their individual airway open. so that his would remain ities, above,8 including the five mentioned officers, Earl, presence The in the of EMT defendants, municipal alleg- as well as the Dooley’s instruction, complied placing ing of federal van, violations constitutional law on Lee on his left side the floor of the 24, 2002, April and state tort law. On passenger the narrower side of the partition. officers then officers removed the action to the United The tilted Lee’s airway head so that his would remain free States District Court for the Eastern Dis- 5, 2002, positioned legs were he to vomit and Lee’s trict of Virginia, August and on Cleveland, ruling to the district court’s Prior on the officers mentioned Wan- above— cik, Garlow, summary judgment Thompson, Dooley motions for that are at the—are appeal, voluntarily remaining issue in this Parrish dis- defendants in the action who against being capacities. missed three claims officers. The five are sued in their individual

301 immunity liability, effectively “it is complaint amended a second filed Parrish erroneously permitted if a case is (the Parrish’s lost remains complaint), which Forsyth, Mitchell v. 472 ap- go to this to trial.” U.S. Relevant pleading. operative 526, 2806, 511, 86 L.Ed.2d 411 105 S.Ct. complaint in his alleged Parrish peal, (1985). or- Accordingly, Lee’s a district court’s violated defendants the individual denying quali- a defendant’s claim of rights in that der Amendment Fourteenth immunity qualifying is a order under to a fied indifference both with deliberate acted 1) (Count and thus is the collateral order doctrine harm risk of serious substantial (Count Hopkins, immediately. Gray need reviewable Lee’s serious medical and to at 229. review the denial of right 309 F.3d We 2), Fourth Amendment Lee’s violated novo, immunity using our full qualified de unreasonable restraint free from to be limit- (Count knowledge precedent 3), Lee’s Fourth relevant and violated failing legal our to the district court’s rights by ing review Amendment Fourteenth Winfield, 106 F.3d at deprivations of conclusions. remedy colleagues’ their 4). (Count Parrish rights constitutional against claims the individual

also asserted wrongful law for under state defendants A. 7). (Counts 6 and death To determine whether the individu individual defen- discovery, After each qualified here are entitled to al defendants summary judgment a motion for dant filed two-step inqui make a immunity, we must immuni- qualified defense of based on the Katz, ry proper sequence.” “in Saucier or opinion issued without ty. In an order 194, 200, 121 150 S.Ct. 533 U.S. record, on the the district any explanation (2001). a threshold mat L.Ed.2d 272 As re- defendants’ court denied the individual whether, ter, “[t]aken we must determine immunity as to Counts quests qualified party most favorable defendants through 4. The individual alleged ... asserting injury, the facts timely appealed. officer’s conduct violated show [that] 201, 121 right.” Id. at S.Ct. constitutional II. viewed, facts, do not estab 2151. If the so (West right, the of a constitutional § lish a violation Under 28 U.S.C.A. ends, plaintiff pre cannot inquiry and the 1993), to review final jurisdiction have we such a do establish Id. If the facts the collat vail. district courts. Under orders of violation, is to determine step the next doctrine, order a district court eral order “clearly violated was right final, terminate whether if it does “even alleged time of the court, long as established” district so proceedings determining whether the Id. In offense. conclusively disputed determines *8 established,” “clearly we right violated was com important an issue question, resolves specific “in of the right define from the merits pletely separate case, general a not as broad context of action, effectively unreview and would be was not right Id. “If the judgment.” proposition!.]” a final appeal able ‘specific context ‘clearly County, established’ George’s Gray Hopkins v. Prince Cir.2002) is, not ‘clear to (4th if it was of the case’—that 224, (citing 229 309 F.3d conduct in a reasonable officer’ Corp., Loan v. Indus. Cohen Beneficial unlawful engaged ‘was 1221, allegedly 541, 1528 which he 93 L.Ed. 337 U.S. 69 S.Ct. he confronted’—then (1949)). in the situation immunity is an qualified Because v. Clem immunity from suit.” suit, law affords merely not an immunity from and 302 (4th Cir.2002) 543,

Corbeau, failing protect of a F.3d 549 is accused detainee 284 Saucier, 201, harm, 533 U.S. at 121 (quoting a physical from substantial risk of 2151). mind, this framework S.Ct. With “conduct that amounts to ‘deliberate indif- immunity specific claim of we turn to the sufficiently ... is ference’ viewed as shock- here. ing support to the conscience that it can a Fourteenth Amendment claim.”11 Id. at

B. Although Parrish asserts four inde very a high “Deliberate indifference is claims in the com pendent constitutional showing negligence standard —a of mere claims boil down to one relevant plaint, his Peed, it.” v. Grayson will meet 195 the individual defend question: whether (4th Cir.1999). 692, 695 An F.3d officer is violated Lee’s Fourteenth Amend ants9 deliberately to a indifferent substantial through a detainee rights pre-trial ment risk of harm to a when that offi- detainee their deliberate indifference to substan disregards” cer “knows of and the risk. harm to Lee.10 physical tial risk of Brennan, 825, 837, Farmer v. 511 114 U.S. matter, general “[o]nly gov aAs (1994). 1970, S.Ct. 128 L.Ed.2d 811 ernmental conduct that ‘shocks the con standard, order to be liable under this “the science’ is actionable as violation of the official must both be aware of facts from Young City Fourteenth Amendment.” v. which the inference could be drawn that a (4th Ranier, 567, Mount 238 F.3d 574 of exists, substantial risk of harm serious and Cir.2001) (quoting County Sacramento of he must also draw the inference.” Id. Lewis, 833, 845-46, v. 523 U.S. 118 S.Ct. differently, Stated somewhat “[d]eliberate (1998)). 1708, 140 The de L.Ed.2d 1043 requires showing indifference gree culpability part govern of on the of a actually defendants knew and disre- mental actor is sufficient to shock the garded injury a substantial risk of serious depend conscience on the circum will or that actually detainee knew any given stances of case. Id. In cases ignored a detainee’s serious need government failing where the is accused Young, medical care.” 238 F.3d at to attend to a detainee’s serious medical added). needs, government (emphases where the 575-76 cases abandoned, By transport effectively alleged the time the officers decided to Parrish Center, Lee to the Adult Detention deci- Fourth Amendment violation in Count 3 as a Lee, sustaining sion that created the risk of harm to basis for the district court’s denial so, Thompson police qualified immunity, wisely Officer left the station. had as the Therefore, govern colorable there is no Fourteenth Fourth Amendment does not treat- Dorton, against Thompson, pre-trial Riley Amendment claim and we ment of detainees. (4th Cir.1997) (en banc). qualified reverse on this basis the denial of 115 F.3d 1164 immunity Finally, liability entirely as to him. under Count any liability derivative of under Counts 1 and 10. Counts 1 and the core of form Parrish’s requires separate analysis. and thus no claim, although Fourteenth Amendment i.e., they technically allege distinct 11.This standard is the same as that which violations-— arising applies Eighth deliberate indifference to a substantial risk of in cases under (Count 1), Amendment, physical prison harm and deliberate indif- where officials are ac- (Count 2)— ference to serious medical to a need cused deliberate indifference substan- *9 same, liability prison the standard of is the tial risk of serious harm to inmates. independent analysis Young, Accordingly, therefore of each at count See 238 F.3d 575. unnecessary. Young City See v. Mount those cases are relevant to the Fourteenth Ranier, 567, (4th Cir.2001). 238 575 F.3d Amendment claim here.

303 it ...” and thus must have known about standard thus Liability under this 842, See, First, 114 e.g., evi 511 U.S. at S.Ct. 1970. showings. two requires Corr., 765, in F.3d ques Dept. that the official Odom v. S.C. 349 must show dence (4th Cir.2003) recognized (noting, finding a substantial 771 that subjectively tion enough that the were aware of the prison guards harm. It is not risk risk of it; they that recognized plaintiff, guards previously have to the officers should perceived contemporaneously the risk. had been warned actually must have (4th Bruce, 336, 2 plaintiffs 340 n. would attack v. 129 F.3d assailants Rich Cir.1997). Second, given the evidence must him if the chance and had been subjec from question plaintiff that the official instructed to remove his re show risk). “in cage light that his actions were creation of this Simi tively recognized larly, may of that risk.” Id. As a factfinder conclude that the appropriate element, it subjective response perceived awareness official’s to a risk was inadequate justify official should have as to an enough patently is not so inappro actually recog actions were the official recognized that his inference actually must have rec the official nized that his to the risk was priate; inappropriate that his actions were insufficient. under the circumstances. ognized Harris, 383, 240 F.3d 390-91 See Brown Having general set forth the two re- Cir.2001). (4th quirements liability under the deliber- standard, ate indifference we assess the indiffer Although the deliberate in the record as to each. evidence showing of actual requires a ence standard elements, it “is a knowledge as to both 1. subject fact to demonstration question of subjective awareness including inference from ways, in the usual As Farmer, the extent to which prong, 511 we must assess circumstantial evidence.” Thus, recognized the factors at “a the officers at S.Ct. U.S. Lee, tending including the detention of may [an officer] factfinder conclude Lee, very substantial risk that due indisputably risk from the knew of substantial intoxication, But, aspi it to the level of his would obvious.” Id. fact that the risk was during if rate his vomit he were to vomit that a reasonable officer enough is not to the adult detention center transport risk to be obvious. his would have found the Rich, Rather, die as a result. the risk and that he would 129 F.3d at 339-40. assessment, making important it is injury obvious that the fact- must be “so that to cross the threshold that the did remember [officer] finder could conclude conscience-shocking negligence mere he could not have failed know of because indifference, officers not of it.” Brice v. Va. Beach Corr. deliberate to know Cir.1995). (4th Ctr., recognize giving the facts rise to As must 58 F.3d Farmer, risk, they must draw the also explained Court Supreme Rich, 129 causal inference. facie case under additional plaintiff prima can make a Thus, the offi at to the extent by showing “that a substan F.3d this standard all, we are recognized any risk at longstand cers harm] tial risk of [serious well-documented, perceived the risk as or ex concerned with ing, pervasive, it, under the not a reasonable officer officials in the as pressly prison noted it, id. perceived should have suggest circumstances circumstances past, and the Brown, 390-91, 339-40, 240 F.3d at being sued had been the defendant-official enlight- may perceived it now concerning the risk exposed to information *10 by hindsight, Grayson, day disciplinary the benefit of he was incarcerated in ened is, 195 F.3d at 695. segregation prison]. That [the at findings do not that Bruce establish. in Rich is in decision instructive Our exposed knew that his actions Rich to a Rich, inmate, prison sued his regard. specific general risk distinct from the Bruce, theory Eighth on a prison guard, risks of violence from other inmates and indifference, Amendment deliberate be- Higgins always to which Rich was ex- inmate, Higgins, cause another attacked posed, and which Bruce was most Rich custody. Rich while was Bruce’s certainly aware. Id. at 336-38. On the date of the events suit, giving rise to the Bruce had removed Id. at 339. Rich thus makes clear that placed Rich from his cell and him in an can officials be liable under the deliberate outdoor recreation area. Id. at 337. only indifference standard to the extent area, Rich While this recreational they actually appreciate that the risk fac- Higgins Bruce removed from his cell and case, given tors in a and to the extent area, placed him an indoor recreation they make the causal inference that fact despite prison regulations they perceived circumstances as them cre- prohibited the removal of more than one ated a substantial risk of harm. serious inmate at a time from his cell for recre- Holding officials accountable for fac- ation. Id. Bruce was Rich returning While actually tors did not recognize, cell, Higgins escaped to his from the in- permissible negligence while if were the door recreation area and attacked Rich. Id. culpability, permissible standard of is not (1) The evidence showed that Bruce was when deliberate indifference is the stan- Higgins aware that posed a substantial dard. every risk to prison inmate and Here, dispute there is no that the offi- Rich, especially to previously who had recognized cers substantial risks associat- (2) Higgins; recog- stabbed Bruce ed with their detention and transportation general nized the risk that posed inmates They of Lee. recognized that Lee was in that particular prison; one another highly intoxicated and would need to be (3) that Bruce deliberately violated facility held at medical where care was regulations prevent intended to exactly the They available. recognized likewise kind of inmate-on-inmate violence that ac- head, Lee had injury suffered an to his tually occurred. We held that these facts though injury even appeared to be were justify finding insufficient to minor, they brought in EMTs evaluate indifference, deliberate because the evi- him. determining In how to place Lee dence did not show that recognized Bruce van, inside the recognized unique risks created his actions in placing Lee on the op- bench was not an the case: tion because he fall Important- off. findings These establish that Bruce ly, they that, recognized hands knew, matter, general as a that Rich back, greater cuffed behind his was at inmates, was at risk from other positional risk of asphyxiation and thus Higgins particular, and that concluded that placed he should not be on Bruce knew that his actions were in that, his stomach. They recognized also [prison] violation of regulations. They intoxication, establish, given Lee’s level however, do not Lee was that Bruce had knowledge aspirating actual risk of his vomit that his actions were he to uniquely general increased these vomit and risks to thus concluded that he should which Rich exposed short, each every not be his back. *11 through contempora- of the risk their own general a host of risks recognized officers statements). neous detaining transporting with associated intoxicated, handcuffed individuals. Nor, setting hindsight, after aside 20/20 assessment, in conducting as we must this it clear that the officers Although Grayson, 195 F.3d at does the evi- risks, general recognized these more support dence conclusion they appreci- does not show that evidence exposed “had here been information they incremental risk that them- ated the concerning the risk [incremental] [associat- by leaving spit mask selves created spit ed with the and thus must mask] have during the ride to the Lee’s head over Farmer, known about it.” 511 U.S. at i.e., that, the risk adult detention center — Odom, 114 S.Ct. 1970. 349 F.3d at 771 Cf. vomit, spit mask would should Lee (noting that the officers had been warned around his face and effec- trap Lee’s vomit explicitly plaintiff). about the risk to the plac- tively purpose specially defeat the is, That the evidence does not show that with him on the van floor on his side ing the incremental risk associated with the tilted.12 his head spit justify mask was so obvious as to an First, knowledge. in the record indi- inference of actual at No direct evidence officer, Wancik, Deputy of the least one when that the officers were aware cates by leaving spit viewing the manner in which the mask fit risk created distinct neck, away have around Lee’s came with the mask on Lee. None of the officers they impression loosely enough the mask as in- that it fit such stated that viewed that, vomited, Lee, risk to and there is no the event Lee there was creasing the (or anyone “plenty liquid Earl else of room for a lot of to kind evidence that EMT 1272.) (J.A. exit out.” at That one may present have been from the time of who erro- away (perhaps mask over Lee’s head officer came with this spit station) neous) fit impression sug- Lee left the warned of the mask’s until the time that, time, any gests at that the risk was not so the officers of such risk. Cf. guards they to the officers that could not (noting 349 F.3d at 771 obvious Second, failed to know of it.13 none recognition themselves demonstrated their have opin- question by the purpose of this be called into fact that It is assumed for fact, did, spit compound though ion that the even several witnesses stated that autopsy report mask, the risk to Lee. The on Lee did any spit no saw saw Lee into the one specify spit bottom, not whether the mask was con- out the which of course can fluid flow death, although tributing factor in Lee's to the fact that Lee did not vomit be attributed pathologist autopsy who conducted the re- spit any appreciable amount of fluid into or portedly thought "that the mask did contrib- prior transport. the mask to his Neverthe- extent, ... if he was ute to Lee's death less, Wancik's view of the mask’s fit is not as vomited, mask would conscious when he patently suggests. unreasonable as the dissent gotten ability moist and affected his have portion at 321-322. The lower Post breath[, ability which] would have affected his exemplar a circumference mask stretches to (J.A. 1326.) airway.” Never- to clear his inches, twenty-four at least and the resili- theless, because the evidence must be viewed Thus, elasticity is minimal. it is ence of its plaintiff, most favorable to the question that at all out of the after contributing spit mask is considered a factor. placing portion stretched in neck had been head, snugly around over Lee’s it did not fit 13. The manner in which the mask used on therefore, testimony, Lee's neck. Wancik’s actually fit around his neck is not well- probative the extent it is as to the obviousness is the described in the record. Wancik mask, with the cannot opinion of the risk associated expressed about the officer to have an vomit, disregarded. trap capacity to but his view mask's any experi- transporting direct a hand- prior had associated of the officers person wearing of mask or formal cuffed inebriated type ence with *12 use, strongly suggests the mask that the risk was diminishing on thus training its something than that the offi- less obvious. of the inference plausibility actually recognized the risk associated cers sum, record, In the evidence in the particular- use. the absence of with its In light Parr- viewed most favorable to showing that the officers ac- ized evidence ish, shows, most, at that the officers were experience with the tually training had or subjectively general aware of the risks at- TranZport Hood and therefore were famil- in- tending transport the detention and it fit iar with the manner which toxicated, handcuffed individuals. The evi- designed, it it is diffi- uses for which was dence, however, does not establish particular cult to conclude that risk spit exposed officers knew the mask Lee to was obvious to the officers. specific general a risk distinct from the risks of which the officers were aware. Finally, importantly, and most EMT Lest the deliberate indifference standard Earl, professional, a trained medical ob- negligence, be transformed into we can of Lee in the van placement served response only light assess the officers’ spit with the mask over his head and ex- general they actually of the risks that rec- ample EMT Earl had pressed no concern. ognized. mask, opportunity spit having to assess the earlier conducted an examination of Lee’s head, during which she evaluated her- spit Having

self the mask’s fit and function in ascertained risk as the offi- it, might perceived of the risk he vomit. At the time cers we next must determine van, Lee into the EMT Earl whether the supports finding was loaded evidence again might response raised the concern Lee that the officers’ thereto was de- Farmer, placed liberately vomit that he be and recommended indifferent. the Su- Notably though, preme “may on his side. she ex- Court noted that officials be pressed liability they responded no concern at time about found free from if specifically effectively reasonably” a perceived risk. 511 U.S. agreed placing observation, with the officers that Lee at 114 S.Ct. 1970. This course, to mitigate his side was sufficient must true because if the i.e., And, Earl response Lee.14 EMT since has official’s was reasonable— perceived any problem negligent stated that had she he not de- fortiori —then mask, follow, liberately she would have stated indifferent. It does not however, the officers at that time. an response While EMT’s when officer’s ie., presence by negligent no means immunizes the offi- he is unreasonable — —that liability, Indeed, cers fact that a trained liable for deliberate indifference. recognize medical technician did not the we response have noted an officer’s vomit, disputes sibility might The dissent EMT Earl's role in the that Lee which is demon- placement Specifically, my of Lee in the van. expressed strated her concern that Lee colleague posits that EMT Earl could not fair- her vomit and recommendation that he ly assess the risks to Lee because she was not Thus, placed therefore be on his side. what- vomiting told that Lee had been before the ever EMT Earl was or was not told earlier in placed mask was over Lee’s head. Post at evening bearing has no on her assessment But, 324-326. at the time of the risk at the time Lee was loaded into the van, potential EMT Earl assessed the van. contemplation pos- harm to Lee in full that view negligence. to revisit Under merely than more risk must be perceived See out the front door re- simply negligence unreasonable. tossed or negligent (“At most, Brown, [the at 390-91 the back. through 240 F.3d enters precau additional to take failure officer’s] Corinth, City Hare v. 74 F.3d [i.e., un unreasonable negligent tions was banc) (internal (5th Cir.1996) (en quotation circumstances], and not deliberate der the omitted).15 Accordingly, where the marks indifferent.”). response negligent If a ly shows, most, that an officer’s evidence indiffer deliberate sufficient to show were perceived to a substantial risk *13 decision ence, explicit Supreme Court’s circum- unreasonable under was subjective incorporate the in Farmer to stances, a claim of deliberate indifference from culpability recklessness standard cannot succeed. effectively ne would be the criminal law contrast, recently de- In we have found Rich, 2 at 340 n. 129 F.3d gated. See where the evidence— liberate indifference and not aspect of Farmer (explaining this qualified the time the uncontradicted at re subjective recklessness ing that “[t]rue made— immunity determination risk, general knowledge both quires question that the officials in re- showed inappropriate the conduct is and also that subjective sponded perceived to a with risk”). one of our sister of that As light inap- response that their awareness explained: courts has Odom, F.3d 765. propriate. See 349 jail officials demanded of response The inmate, Odom, alleged prison prison risk of knowledge of such actual deliberately indifferent to guards had been [they] not act with injury is serious fellow in- risk that Odom’s the substantial share the indifference. We deliberate attempt to kill him. Id. at mates would Farmer standard ... that the concern case, in that presented The evidence in- negligence into a not be transmuted to most favorable viewed ie., indifference, Deliberate quiry. fellow inmates showed that Odom’s harm, cannot to cause subjective intent to opportunity create an started a fire to failure prison guard’s from a be inferred fire, in- could, Id. Because of If the stan- attack Odom. reasonably. to act cells to out- neg- to from their be more akin mates were moved applied dard would Id. cages. recreation than deliberate indifference. door chain-link ligence guards that cer- explained prison to Odom reject suggestion proper that the We to attack attempt would tain other inmates per- duty respond to measure of him, those inmates guards placed and the knowledge ought requisite with the sons ceivably, response that was colorable have come to the 15. Several other circuits enough Shepard, good See Cavalieri v. faith still be same conclusion. taken Cir.2003) 616, (7th (noting that F.3d 622 negate 321 even if it were deliberate indifference required perfect take (and "was not defendant objective standpoint inadequate an response or reasonable action” Keane, action even v. negligent)”). But see Trammell thus Kelso, risk); 201 perceived Williams v. 155, Cir.2003) (2d (noting that 338 F.3d 164 1060, Cir.2001) (8th (holding F.3d 1064-65 negate response must be "reasonable” that, assuming jail told to officials were indifference); v. Marsh claim of deliberate signs, prisoner’s failure "[t]he vital monitor 1014, (11th County, 268 F.3d 1028-29 Butler period over a to follow this instruction banc) (same); Cir.2001) (en Beers-Capitol v. negli ... was a matter of about seven hours Whetzel, 120, (3d Cir.2001) 132 256 F.3d most; showing of gence at there was not a Scott, 493, (6th (same) 506 Curry v. 249 F.3d indifference”); Burrell v. deliberate see also Cir.2001) (same); Hartford, 204 Schwenk (1st County, 8 Cir. Hampshire 307 F.3d Cir.2000) (same). (9th F.3d 2002) deciding (noting "[c]on- without adjacent Shortly reversing to Odom. cage grant the district court’s of sum- thereafter, in- guards overheard the mary judgment for the defendants and verbally threatening mates Odom and ob- remanding the matter for further proceed- tearing down the fence served inmates ings.16 Id. at 772. them from Id. at separated Odom. contrast, In the record before here us developing to this 767-68. suggesting contains no evidence that these situation, other correctional officers direct- recognized officers that their actions were ed the defendants to remove Odom from inappropriate under the circumstances. so, cage, his but the defendants did not do contrary, To the the evidence shows that able to enter Odom’s assailants were the officers believed that their actions In- cage and assault him. Id. at 768. were sufficient to mitigate the risks creat- stead, openly the defendants mocked ed Lee’s intoxicated condition. The and, through alleged Odom their contem- to transport decided Lee to the statements, poraneous indicated both that help adult detention center where medical and that recognized the risk Odom *14 they would be available if he needed it and

they believed he somehow deserved to called in the paramedics to ensure that be beaten. of the flippantly One officers injury Lee’s head did not require treat- “got observed that the assailants th[ei]r In making ment. the critical decision re- snitch;” Odom, stating, another scolded specting how placed Lee should be in the “you should not have snitched on them van, the officers consulted with a trained guys[,] you stupid [expletive].” Id. at 771 professional. medical Recognizing the (alterations original). in In of this aspiration positional risks of and asphyxia- actually direct evidence that the officers tion, the officers and EMT Earl decided harm that welcomed the befell Odom and place Lee on his side and the officers did subjectively precautions realized that so. they positioned legs The officers then inadequate, panel had taken were Lee’s evidence, majority side, so that he concluded that in would remain on his the absence rebuttal then tilted airway his head so that his defen- dants, sufficiently supported a claim of would remain free should he need to vom- justified deliberate indifference and thus it.17 anyone Neither EMT Earl nor else say, Judge Luttig they 16. Suffice it to and I disa- ment so that would fit.” Post at 320. Odom, greed at the of the unsupported by time decision in This conclusion is the evi- over what the evidence in that case showed. dence and is at odds with the uncontradicted Unfortunately, disagreement spilled (J.A. 1476-77.) testimony has of EMT Earl. at case, disposition over into testimony Because that is uncontradicted and tempting though may point- it be to address impeachment no bases for the of that testimo- by-point shown, the dissent's characterizations of the ny ignore have been we cannot it. that, view, my Miller, facts and rationale of Odom in Wright See 9A C. & A. Federal Practice square majority opinion do not (2d ed.1995) with the in § (explaining, & Procedure 2527 Odom, majority I commend the reader to the setting in forth the of review standard opinion urge that case the reader to judgment as a matter law under Rule contrast with the dissent's characterization jury required that "the to believe ... un- here. thereof unimpeached contradicted and evidence from witnesses”); Wright, disinterested 10A C. A. dissent, Kane, According the evidence re- Miller & M. Federal Practice & Proce- (3d garding why 1998) ("If §§ how and the officers dure ed. the movant that, disregarded entirely in the van must presents credible evidence if not contro- trial, positioning favor of the view that the of Lee verted at would entitle him to a Rule 50 "nothing relatively judgment more than automatic as a matter of law that evidence legs efforts compart- accepted summary- to shove Lee's into the must be as true on a question concern that deliberate indifference expressed any present then would not be sufficient. precautions cases is not whether the officials could these short, the offi- evidence shows that precautions have taken additional —almost they precautions that believed cers took invariably, with benefit of hind- 20/20 (albeit erroneously) pre- were sufficient sight, precautions there are additional sim- that befell Lee. There vent the harm could have been taken —but whether record, ply is no evidence an ... “disregarded] excessive risk to or contemporaneous form of statements Brown, safety.” at health or 240 F.3d otherwise, justify an that the inference (noting that failure to take addi- 390-91 that their subjectively recognized showed, most, precautions negli- at tional inade- precautions prove would to be indifference); gence and deliberate quate.18 (rejecting F.3d Grayson, 195 at 695 of evidence of

Notwithstanding lack the con- “impermissible hindsight” 20/20 inappropriate subjective awareness that officers have taken de- tention should suggests response, the dissent ness of the Moreover, facility). a medical tainee to that, have taken the officers could because dissent to believe that the rule the seems measures, their precautionary additional thrust federal requires Odom “would of deliberate is more indicative conduct daily po- of local practices courts into the than that occurred which indifference departments.” Grayson, lice 195 F.3d a finding thus that of deliber my colleague correctly concurring 696. As Post at is mandated here. ate indifference ought “preci- recognizes, we to avoid such *15 however, precedent, our 315-817. Under in “the difficult de- pitous[ ] interference]” feasibility of precautionary additional the regularly by faced enforcement cisions law rarely deliber probative is measures Post at officers.” Brown, inquiry. 240 ate indifference See conclusion, the In evidence does Norton, (citing v. 157 F.3d at 390-91 Liebe responded the officers (8th Cir.1998)) show that here 574, (“Appellant 578 F.3d the indifference to substantial deliberate offi points all of the which [the actions the dis- Accordingly, of harm to Lee. risk Unfortunately, have taken. should cial] the offi- granted court should have trict did not the benefit of [the have official] Be- qualified immunity. request cers’ for hindsight, now. twenty-twenty as we do prong fails Thus, cause Parrish the first precaution must those we examine immunity need not inquiry, we [actually] qualified were under ary actions which taken.”). clear, to have right alleged the we often made consider whether As have generalized assertion follows neces- judgment party opposing ”[i]t when the motion the evidentiary guards does not offer ... material sarily holding motion our that the ..."). supporting opposing the contention deliberately to the risk were indifferent Odom Odom, in this defendants of harm to that the disagreed we over what 18. Just as in Odom deliberately to the case were indifferent showed, Judge Luttig there and I the evidence Odom is to Lee.” Post at 316-317. of harm disagree impact as now over the of Odom because, easily distinguishable case from this similarity precedent. While Odom some has above, there discussed in the text present case involved a claim because it that the officers unrebutted direct evidence indifference to a substantial risk of deliberate Odom and that welcomed the harm that befell detainee/inmate, similarity to a of harm officers worked to evidence show soon that case this one ends between risk to subjectively aware of the were both view, my Odom is instructive thereafter. their inappropriateness Odom and of only its the facts of this here contrast to Odom, at 771. disagree response to that risk. 349 F.3d simply with the dissent's case. I clearly however, been violated was established un- precedent, that, each reveals al- specific der the though circumstances this case. the dissent begins generally with a Saucier, 533 U.S. S.Ct. 2151. accurate assessment of the facts of the pillories, invariably cases he he fails to

III. include factual detail that highly rele- vant to respective panels that decided closing, obliged Before I feel to com- each of those eases. When one briefly ment considers chapter my dissent- all cases, of the facts of these as we ing are colleague’s on-going disquisition over required to Supreme do under prec- Court qualified the state of our court’s immunity edent, entirely an picture different dissent, emerg- jurisprudence. According to the es. today our decision the latest in a growing line of “individually cases that are For example, the dissent omits facts collectively indefensible and irreconcil- from his discussion of that were able,” and we as a court are “in need of highly relevant to the majority’s disposi- ju- instruction the critical areas of our tion of the case {e.g., the fact that

risprudence” represented by various of our guards never rebutted the evidence of de- I, course, decisions. Post at 31. do not indifference; liberate the fact agree. prison guards contemporaneous made matter, preliminary As a statements despite strongly indicated that dissent’s impassioned subjectively were unsubstantiated aware of the risk to claim that Odom we have turned the and of the inappropriateness doctrines of of their risk). qualified immunity to that deliberate indiffer- heads, ence on respective their legal The dissent’s Bailey discussion of analysis conducted here is in lockstep with (4th Kennedy, 349 F.3d 739-41 Cir. precedent of the Supreme Court as 2003) likewise is incomplete. According to well as that of this circuit. Not one of the dissent, in Bailey “merely setting cases forth the upon doctrine which took a person suicidal custody into *16 opinion this is based has been reheard en psychological evaluation having after been banc, nor has the Supreme granted Court summoned to the scene an emergency certiorari in any of these cases to correct caller reported who that a suicide was any errors. To the contrary, prece- imminent.” Post at 314. The dissent dent articulated and upon relied here is omits, however, that the investiga officers’ (I well-settled and not in serious dispute. tion emergency contradicted the call’s re also recognize that this opinion has no port of a suicide risk. Rather than finding particular precedential value as it repre- a depressed person suicide, on the verge only my analysis sents case, of the and the first responding officer discovered a judgment represents has been man in sitting his own calmly eating home joined by Judge King.) his lunch. During a five-minute conversa

The important more observation officer, about tion with the man denied critique dissent’s intentions, is the extent to which suicidal and the officer discov it is based on a selective recitation of the ered no preparations evidence of for sui facts of our cases. If blindly one were cide. Id. at 740-41. This officer then left accept as true the dissent’s characteriza- the house voluntarily. Because the offi tions of our precedent, his view of our personal investigation cers’ revealed that qualified immunity jurisprudence might Bailey risk, was not an imminent suicide justified. well be A careful reading of we found that subsequent officers’ in precedent this case as that omits this fact Bailey, which resulted seizure of forceful man, injuries misleading. to the simply is physical substantial and a viola- objectively unreasonable that, Supreme precedent dictates Court law. Id. at clearly established tion qualified in reviewing immunity, claims of colleague’s treatment My dissenting pay pecu- we must careful attention to the County, 302 George’s Prince Robles v. liar facts and circumstances of the case. (4th Cir.2002), in accord with F.3d 262 635, Creighton, Anderson v. 483 U.S. 639- case,19 view of that oft-repeated his (1987). 3034, 107 S.Ct. 97 L.Ed.2d 523 the same defect. suffers from nonetheless Ironically, excoriating this court for its that decided Robles panel Members alleged faithlessness to the dictates of dissenting col- my responded have the dissent itself is unfaithful to precedent, decision, and I of that league’s criticisms Supreme this most salient feature of to add to that discussion see no reason immunity juris- qualified Court’s modern Robles, 308 F.3d 437- this case. See prudence. (4th Cir.2002) C.J., (Wilkinson, concur- banc); rehearing en

ring in the denial IV. Buchanan, 520, 535 n. 8 325 F.3d Jones unques- Lee’s death this case was Cir.2003) J.). (4th (Motz, tionably tragic, my separately and as con- resorts to Finally, I note that the dissent noted, curring colleague rightly has holding as attacking my characterization precipice here “skirted the of de- officers existing prece- with being irreconcilable Post at 312. Nev- liberate indifference.” case to his char- comparing this dent. ertheless, supports while the evidence the dissent asserts acterization may that the officers here have conclusion the officers did only thing culpability their falls negligently, acted “lay perceived to the risk was conscience-shocking deliber- short of the way.” him on on side and send his Lee necessary to sustain Parr- ate indifference omits, however, the fact at 314. He Post Amendment claims. For ish’s Fourteenth analysis in this that is most relevant reason, reverse the district court’s we Lee opinion —that immunity remand qualified denial of posi- head tilted and feet his side with his immu- grant qualified instructions with side, so that he would remain on his tioned the five officers. nity to each of of, in consultation presence all in the AND REMANDED REVERSED with, who professional a trained medical INSTRUCTIONS WITH on, had examined *17 possibility recognized who herself KING, Judge, concurring: Circuit being might vomit while handcuffed Lee’s constitu- I that a violation of agree to adult detention center. transported by been established rights of tional has not disputes significance The dissent police and that officers load- the evidence presence Earl’s when Lee was EMT 324-326, immunity; howev- van, qualified are post at but that entitled ed into the er, separately I is a close case. write judges significant fact is to both that, taking emphasize my view today. Any discussion of voting to reverse J., Cir.2003) (4th dissenting); (Luttig, Alt County, George’s 308 541 19. See Robles v. Prince 194, Point, J., 437, (4th Cir.2002) City High F.3d 208- (Luttig, v. 330 man F.3d 441-48 of (4th Cir.2003); 349 F.3d at 775-81 rehearing dissenting denial of en 10 from the J., Buchanan, 520, dissenting), post banc); (Luttig, at 312-315. v. 325 F.3d 535- Jones Lee, regularly by ficult facts most favorable decisions faced law en- (“To precipice of the officers have skirted forcement officers. See id. at 696 indifference. The circum- deliberate lower this thresh- [deliberate indifference] leading stances to Lee’s death are trou- old would thrust federal courts into the (2) (1) intoxicated; bling: Lee was he was daily practices police depart- of local unwilling or unable communicate his ments.”). Because the conduct com- (3) officers; needs to the he could not plained “very Lee does not meet the (4) own; up stand or walk on his he indifference, high standard” of deliberate would not or could not the vomit from I reluctantly Judge concur—albeit —in being repeatedly his mouth without asked appeal Williams’s view that this should be notwithstanding to do so. And their sub- result, decided that basis. As a I jective knowledge that Lee could vomit would, Williams, like not reach the again, the officers the hood over his issue of whether the officers violated a face, they him virtually head and left “clearly right. established” constitutional police unattended in the back of the van Consistent with the I foregoing, would thirty Although about minutes. com- recognize the officers’ claim of qualified mon sense indicates the officers’ ac- immunity and reverse the court. district inappropriate, tions were those actions do conscience-shocking not constitute the be- LUTTIG, Judge, dissenting: Circuit required havior for a depri- constitutional Young City vation. See v. Mount Rant- decision, today’s With this court com- (4th er, Cir.2001) 567, 238 F.3d (“Only pletes the turn of both the deliberate indif- governmental conduct that ‘shocks the con- qualified immunity ference and doctrines science’ is as a actionable violation of the heads, on their confounding so these two Amendment.”) Fourteenth (quoting Coun- important literally doctrines that it is im- Lewis, ty 833, Sacramento v. 523 U.S. possible in the first instance to prin- make 118 S.Ct. 140 L.Ed.2d 1043 cipled predictions as to what conduct will (1998)). subjectively While and will not be considered to constitute knew that Lee could again, they vomit indifference,” and, upon “deliberate a find- deliberately were not indifferent to that such, ing of predictions make like as to They risk. took measures to ensure Lee’s availability qualified immunity. (1) safety: they placed Lee in the van in In Robles v. George’s County, Prince presence profes- trained medical (4th Cir.2002), 302 F.3d 262 the court held (2) sional; they placed Lee on his side in law enforcement officers could not (3) van; the back of the tilted possibly expected to know that it that, vomited, Lee’s head to ensure if he be unlawful to handcuff a detainee to a airway would remain free. pole in the shopping- middle of a deserted sum, although the officers’ actions lot, parking center morning, 3:00 may well negligence, they constitute do there, and abandon him for no law enforce- stringent meet the standard of delib- ment purpose whatsoever. Peed, erate indifference. Grayson See *18 (4th Cir.1999) (“Deliber- Robles, holding After so 195 F.3d 695 the court Bailey ate a held in very high Kennedy, indifference is standard a 349 F.3d (4th Cir.2003), showing negligence contrary of mere 739-41 will not meet to Robles it.”). And, appropriately as we have rec- and without even a citation to that case— ognized, Williams, courts should not precipitously opinion by Judge an the au- interfere with supervise today’s or seek to the dif- thor police decision—that offi-

313 And, today, only a few months after and the Constitution violate cers did holds, decided, the court con- Odom was actions clear- that their have known should opinion another au- trary to Odom—in Constitution, they did when ly violated officials, by Judge Williams—that thored allegedly an suicidal than take no more intoxicated, vomiting highly loaded a who eval- custody psychological for into person van, a his hands man into the back of emergency an uation, to upon responding and with his head cuffed behind his back was person that reporting call specifically designed a mask covered with going and was depressed, and intoxicated and from the mouth trap fluids excreted This the court suicide. home to commit unattended, nose, and left him unobserved a that there was held, acknowledging while unobservable, for the duration of a governing the clarity” in the law “lack of to a detention center— thirty-minute drive for the constitutionality of made seizures in the that resulted palpable indifference evaluation, an ac- psychological purpose from suffocation on his own man’s death have itself should which knowledgment any arguably not even violate vomit—did liability. foreclosed official decedent’s, much right constitutional later, in v. South Carolina days Odom Two clearly constitutional less established Corrections, F.3d 765 pt. De right. (4th Cir.2003), Robles contrary to again Thus, summarize, has held this court to that even a citation again without Robles) (in officer that no law enforcement Williams opinion an case—in a might know that it possibly could court majority joined to form the —the a rights of violation of the constitutional guards could be prison not held shopping him to a to handcuff detainee in for an deliberately indifferent found him in the there pole center and abandon in prison other violent mate’s assault admittedly for no law night, middle of the through their own who had torn mates purpose. enforcement cage inmate’s plaintiff into the cages and (in Bailey, without held The court has evacuation, but also emergency an during Robles) that, although it even citation held to have guards could be clearly established not a violation of violated the clear that their actions known (in Robles) for offi- rights constitutional rights of the constitutional ly established pole a detainee to cers to handcuff holdings, even inmate. These assaulted no law enforce- night, for middle of acting in the guards were though the whatsoever, it was a viola- purpose ment in high-security evacuating midst clearly constitutional tion of established had prison; to a fire mates due officers, responding legitimately for rights aggressor inmates placed the purposely an intoxicat- 911 call that emergency an victim, in that of the cages from separate person going depressed ed expressed fears to the victim’s suicide, merely to take the suicidal commit steps to assault; had taken affirmative custody psychological into individual aggressor in when the save the victim purposes. evaluation their through from began mates to break Robles) (in offi- police It held his, retreating only has into separate cage know that possibly cers could from the uncontrolla personal threat upon to handcuff rights of a detainee violate the and conduct inmates —circumstances ble at 3:00 pole center shopping him to a should which, precedent, under established (in him, held morning and abandon finding of constitu foreclosed even have to Robles a citation even without tional violation. *19 (or Bailey)) for that matter prison to denying persons their rights not to be guards acting during an emergency, subjected who to deliberate indifference at the steps prevent took numerous an assault government, hands of their through our by inmates, violent and uncontrollable not own deliberate indifference to the control- only rights violated the of an ling inmate who precedent court, not of this but ultimately (by failing assaulted to take Supreme And, also of the Court. testa- further steps specified that were not even ment to our complete inversion of the doc- court), by the but could be held to have trines of deliberate quali- indifference and clearly violated the inmate’s established immunity, fied at the same time that we rights. constitutional are failing to ensure right this basic (I citizens, we are believe also unthinking- (in And it Bailey, has held without even ly) denying to law enforcement officers Robles) a citation to that officers who their corresponding right not pun- to be merely took person a suicidal into custody except ished for conduct that is in viola- psychological for having evaluation after tion of a clearly citizen’s con- established been by summoned to the scene an emer- rights. stitutional gency reported caller who that a suicide imminent, could be held to have violat- I. clearly ed the established constitutional rights person of the taken into custody, case, In this faced with the understood (in Odom, likewise without even a Tony risk that might Marcel Lee aspirate Robles) citation to prison guards who (1) (2) alone, his own vomit and die if left during acted an emergency protect an unobservable, unobserved and in the back inmate from assault but were unable to (3) van, (4) of a heavily intoxicated with his prevent by that assault fellow inmates back, (5) hands cuffed behind his could be held to have violated clearly (6) mask, his face covered with a established rights constitutional of the as- the duration thirty-minute of a transport (in saulted inmate. But it now holds Parr- center, to an adult detention appellant ish, without even word of discussion of police nothing, all, officers did nothing at Bailey, and with no principled ground for lay Lee on his side and him send Odom) distinguishing that officials who way. The indifference of these officers caused person the death of a by transport- safety Lee’s was far more evident him, intoxicated, ing with his hands cuffed egregious by any measure than the con- back, behind his with his mouth and nose duct this court unequivocally held to con- by covered a mask designed trap fluids stitute deliberate indifference in Odom. from escaping, and unobserved and unob- so, And this is even if indulges one servable, arguably did even violate (reminiscent Williams’ incredible holding right decedent, constitutional much Robles) of our like holding that a rea- less a clearly established right. sonable officer possibly could not be ex- To juxtapose these individually pected indefen- to realize that putting a mask over collectively sible and intoxicated, irreconcilable hold- a highly vomiting person’s ings one with the other is to confirm that mouth and nose—a place by mask held in we are a court in need of instruction elastic bands and specifically designed to the critical jurisprudence areas of our rep- downwards, prevent leakage see ante at resented precedents. these In ironic 298 n. contribute to the aspira- 2— parallelism, we are set on a sys- course of tion and suffocation of person on his tematically (though I believe unthinkingly) own vomit.

315 placed mask over mouth unquestionably bind- been his and Odom Because case, and insuscepti- this nose. ing precedent distinction, I would affirm principled

ble of summary of the court’s denial district A. remand the judgment appellants to case for trial. Odom, evacuating In prison guards were

inmates a out- high-security prison from to cages, to an emergency door due caused II. Odom, by prison. fire the who had must, Judge Importantly, as she along been other in- evacuated with the “recog- officers Williams admits that the mates, by was attacked in- and beaten that, intoxication, of given Lee’s level nized through mates who were able to break of aspirating Lee was at risk vomit” adjoining cage from their into his. Odom also admits that this she guards sued the prison who had evacuated then pro- Ante at 304. She substantial. inmates, alleging guards the that the had however, ceeds, deny to reason- deliberately been indifferent to the risk could that the officers able factfinder find he by be harmed the other would the risk that “appreciated incremental inmates. granted The district court sum- by they leaving created the themselves mary guards. the This judgment to court during spit Lee’s head the ride mask over reversed, holding allegations, that Odom’s ie., to detention the risk the adult center — believed, if prison established that the vomit, spit that, Lee should guards acted with deliberate indifference Lee’s vomit around his face and trap would ultimately harm that befell toward the effectively specially purpose defeat the Odom, in- aware that because were on his placing him on van floor side trying mates to into were break Odom’s tilted.” Ante at 305. his head him, cage failed to do and attack moment, arguen- For the I will assume enough material- prevent risk from Judge do Williams’ as- the correctness court izing. F.3d at 769-72. The so that no factfinder could sertion reasonable were, held, though defendants even recognized conclude that officers throughout question, acting the events in spit risk” with the “incremental associated prison emergency in the of a midst however, on this assumption, mask. Even steps had taken a number of affirmative legal still in her Judge errs con- Williams harmed at the prevent being Odom appellee has not made out a clusion instance, For hands the other inmates. indifference, prima facie ease deliberate in- had the hostile the defendants Odom, because, under when the facts are separate from cage mates in a Odom’s truly viewed most favorable concerns, expressed response to Odom’s appellee pri- made out a appellee, has attempted subsequently to and had even ma facie case deliberate indifference other inmates tried to free Odom as the the risk that even Williams admits retreating when cage, break into his recognized. particular, un- inmates with they were threatened der factfinder reasonable could at 771. And weapons. homemade See id. deliberately conclude that the officers were held, it did not though even the court so indifferent to risk that suf- identify guards action that single transport vomit during focate on his taken, to take. center, but failed had no should have adult detention even *21 B. the police back seat of a cruiser instead of van, the where he could have been ob- in When the facts this case are in viewed Or, served or at least heard. very the light plaintiff, most favorable to the minimum, they could have Lee in is clear that our disposition. Odom controls compartment van, the left from Indeed, crediting arguendo Judge even position which he would have been visible holding juror Williams’ that no reasonable to Cleveland during the drive.1 possibly could find these officers were Second, Odom, in placing aware that over Lee’s head a prison defendant guards designed trap were responding hold fluids excreted to an emergency, evacuating violent, highly his mouth and nose dangerous pris- increase the risk that he would suffocate oners from their cages on his own cells to makeshift vomit, complained the conduct outdoors in protect of in this order to them from case fire. obviously is far And the inmates less defensible and were uncontrollable even correspondingly during Here, far more indicative of de- evacuation. in con- trast, liberate indifference than there emergency the conduct of was no whatsoever guards in confronting Odom. the defendants. The officers had an unlimited amount of time to reflect First, Odom, noted, as the court could calmly on Lee’s transport and to consider identify any not even steps that the defen- measures that would ensure that the risk dant officers prevent could have taken to they to Lee that knew existed would not Odom, the assault on but held nonetheless materialize during the trip to the adult guards had been deliberately in- Indeed, detention center. in response to a different to the risk of harm to Odom. See deposition question direct asking whether Here, contrast, id. at 771-72. there he “had time to think about whether the any were number of reasonable and obvi- hood should be removed from Mr. Lee ous alternative courses of readily action before he left wagon,” Lieutenant available to the officers other than simply Dooley answered the affirmative. See leaving highly intoxicated Lee hand- J.A. 175. cuffed and unobserved in the back of the van for the ride to the adult Third, detention guards took affir- center. They could assigned have some- steps mative to place Odom in a van, one to ride in the cage separate observe Lee inmates; from the hostile during transportation to the detention they cen- subsequently attempted to free Odom They ter. transported could have Lee in cage from his when it became evident that Judge where, here, Williams contests neither that correctness. For additional identify court in Odom could not additional precautions easily are both obvious and un- guards measures which the defendant in that dertaken, yet are not despite undertaken taken, case could have nor in this case harm, awareness of a substantial risk of any number of reasonable alternative courses reasonable factfinder could conclude from the readily of action were available to the defen- availability feasibility obvious of those Rather, Judge dant officers. Williams at- precautions additional that an official was tempts to deflect attention from direct subjectively inappropriateness aware of the comparison between this case and Odom with his conduct. And such determination the assertion precedent our "[u]nder ... directly question would be relevant to the feasibility precautionary additional whether that official is liable for deliberate rarely probative measures is in a deliberate indifference, inquiry.” very indifference Ante at under the standard which forth, disagree Judge I Williams herself Williams as to sets see ante at assertion, but I need not demonstrate its in- 302-304. away, compelling to and a more one trying gain access inmates were other withdrawing only when cage, finding Odom’s of deliberate indifference than was weapons homemade threatened with were Odom. id. at inmates. See by the violent contrast, Here, in all officers did in C. recognized to Lee *22 step him his side in the van—a place to by the palpable inconsistency Unsettled scarcely thought sufficient to

that could holding alleged between the her that con- aspirating of danger Lee his pre-vent the in duct did in- Odom constitute deliberate vomit, that possibility the Lee’s given own holding difference and her that the alleged ride, in during could shift the as position not, conduct in this does Judge case did, that (reciting it 1503 Lee fact see J.A. employs two-step strategy a in an Williams side, not on but face lying found his First, attempt distinguish to in Part Odom. down, the when the van arrived at deten- I of her in a opinion, transparent effort to center), and the fact that Lee’s hands tion appear make the facts this case as dis- back, his preventing were cuffed behind tinguishable possible, Judge from Odom as began self-help from he to him event in light Williams describes these facts the choke. officers, most to favorable the defendant necessarily holding It from our follows even claims them “in as she to view the guards deliberately the in that Odom were light plaintiff.” favorable to the most Ante risk of harm to indifferent Second, facts, having at 297. so skewed the in the this case were delib- that defendants Judge then claims that Odom is Williams erately of harm to indifferent the risk Lee, crediting distinguishable in- Judge even Williams’ because Odom there was no holding juror that could rea- credible the responded evidence that defendants sonably officers conclude were subjective “with that their re- awareness spit putting aware that mask over Lee’s sponse inappropriate,” while in this mouth and nose increase risk none. ante at 307-309. case there is See aspirate that Lee and suffocate on would actually facts of ease are When the Indeed, comparing his own vomit.2 and light plain- viewed in the most favorable to respective conduct contrasting the however, tiff-appellee, is clear cases and the surround- the two Judge distinguish efforts respective Williams’ ing in which the circumstances is, occurred, the case far Odom fail. conduct instant footnote, lungs Judge suggests reaching vent his either con- air Williams through through mouth his nose. or my spit cern that statement that the mask was "aspiration While on vomit” exist- this risk wrapped Lee’s around mouth nose mask, see, e.g., Krueger ed even without misimpression that the "should not create Delta, Fraternity WL Phi Gamma 2001 filtering medical fit over Lee’s bacteria fabric (wrongful (Mass.Super.2001) death nose, it did not.” Ante at 298 n. 4. which heavily case which intoxicated individual obviously This concern is irrelevant. The wearing who mask died when was not Lee, ultimately and the risk breathing aspirating stopped vomit he after death, was Lee caused Lee’s not that would unobserved), being while left alone portion die because the middle mask this risk because middle increased directly prevent breathing, vomit, Lee’s would itself portion once of the mask ensured vomiting would die expelled, Lee after remain close to would nonetheless vomit, position inhaling optimal would then such which then Lee’s mouth and thus in windpipe. aspiration into proceed windpipe pre- and thus fatal Lee’s to block his transported Cleveland directly Mr. Lee the Adult Detention Center without inci- Judge

As to skewed Williams’ view of dent in Mount prisoner Vernon’s facts, junctures transport critical she sets wagon. them forth in the most This was accepted favorable and estab- the defendant officers. procedure lished because the wagon is much easier to up clean prisoner should a

First, describing when the defendant of- during vomit transport transport.” ficers’ decision to J.A. 1332. from the station to detention police center Though there is no evidence that Dooley cruiser, van instead in a Williams “accepted had practice and procedure” in forth “fact” that “Dooley sets directed mind when he directed that Officer Cleve- that, ‘accepted practice accordance with land cruiser, use the van instead of the procedure,’ police Cleveland use a van *23 there is Dooley evidence that had mind specially that had been modified to trans- port prisoners.” purely Ante at practical 299. To the ex- concerns that the van Judge tent by Williams means this either would be easier to clean up than the cruis- Dooley that Lieutenant contemporaneously er, in the event that Lee were to vomit en announced that he had decided Lee should Indeed, route.3 the notes of Sergeant Ja- transported police be in the van because coby, from an interview with Lieutenant by such required “accepted practice was Dooley purposes conducted for of Internal procedure,” just or even that Lieuten- Affairs day review one after Lee’s Dooley ant by himself was motivated a death, state the following: “Transport recognition “accepted practice of pro- wagon to clean up.” J.A. 1485 —easier choosing cedure” in van the over the cruis- added). (emphasis evidence, Given this er, even announcing without such to the coupled with the recognition that the offi- officers, Judge other defendant Williams is already cers had seen Lee vomit into the simply mistaken. No evidence in the rec- cruiser in which Cleveland transported ord, including evidence from the deposi- him police station, a factfinder could tions of themselves, the defendant officers easily regardless conclude that proce- of supports either of propositions. these And dure, the fateful choice between cruiser the page Appendix the Joint to which and van was made for no better reason Judge says nothing Williams cites whatso- than that it would be easier to ever about clean the Dooley, Lieutenant much less Rather, about his van transportation motivation. after Lee’s page that to the de- merely states, in part: relevant “[Officer] tention center.4 reason, course, seats, 3. This van, is the same as the whereas in the Dooley back of the reason "accepted practice behind the figured, and the other officers Lee would have procedure" page referenced in the from the more room to stretch out and would be at less Appendix Joint Judge to which Williams cites. injuring risk of himself.” Ante at 299 n. 7. light But viewed in the most favorable to the Judge appear Williams stage does not at this plaintiff-appellee, nothing this is more than however, Dooley’s to explanation, credit coincidence. that, by subsequent evidenced her statement contrast, "[i]n Lieutenant Brenda Akre stated footnote, Judge In a Williams also recounts transporting that intoxicated individuals in a Dooley’s explanation Lieutenant that police accepted van 'was the and established choice between the van and the cruiser was procedure wagon that, because the is much easier by motivated concern "in the backseat of cruiser, up prisoner to clean should during Lee vomit up- would not remain seated ” right 1332), bang transport,’ (citing and thus by his head id. J.A. on the followed plexiglass divider between the opaque pronouncement front and back her somewhat that to ex- in ror could conclude that due Lee’s of the facts Continuing her recitation intoxication, to the defendant did most favorable treme state light officers, forth as Judge next sets Williams thinking not even bother about the difficult van, placing “fact” when place to him on trying task of the narrow Lee should determined that “the officers bench, onto simply laid him the floor of bench on the because placed not be them, the van easiest because for injure off it and would roll risk he safety. regard without Lee’s Thus, Ante at 300. himself.” requirement Undeterred that the officers made suggests Williams light facts be stated most favorable determination that it and reasoned careful plaintiff-appellee, Judge Williams next if placed were be better for Lee Lee would presents as “fact” that the officers took than on the the floor of the van rather on legs care that he “position[] Lee’s so But, of the ad- especially bench. during would on trans- remain his side fact there no discussion mitted however, Again, port.” Ante the officers about between whatsoever juror compelled reasonable would not be on be whether Lee should ap- anything find that the officers did floor, 1265, a or on the see J.A. bench positioning legs, careful of Lee’s proaching juror compelled would not reasonable or did such purpose any sort of careful and find either that ensuring Lee would remain his side that, or was made reasoned determination *24 Lee, during transport. who was five-feet- made, made for if such determination was tall, eight-inches hardly length- could fit of and for other rea- the benefit Lee not police compartment, wise in the van which Rather, having already concluded sons. only long. was five-feet-seven-inches the cruiser and that the choice between light 260 In Compare J.A. with J.A. 1167. by of the van was driven considerations this, given officers’ mo- of and the obvious then officers’ convenience rather Lee’s the liability making to try by tive to avoid juror easily could con- safety, reasonable possible their actions seem as careful as Lee on the placement clude that the of fact, jury con- after the a reasonable could similarly instead of the bench was floor ju-- clude what was afterwards described a reasonable that particular, motivated. head.” J.A. 1485 is material and about Lee his the extent this evidence "[t]o "bang[ing] added). conflicts, light (emphasis it in most favor- we view the Second, plaintiff).” apart the be- [the able to even from contrasts Dooley's explanation deposition and tween Dooley's too But this still far charitable record, explana- the other statements the explanation the choice between van van choice between cruiser and tion that the and the cruiser was made out of concern that might of out concern that Lee made head,” explana- might "bang his which partic- "bang sense. In his head” makes little by Dooley during depo- given tion was first ular, appellee argues, also an there was year August over a after Lee's sition in significant possibility that Lee obvious and (deposition tragic death. See J.A. 182-83 left, being ex- “bang after would his head” First, explanation Dooley). Lieutenant the any by seat tremely intoxicated and unsecured by during August depo- given Dooley his 2002 device, restraining to slide belt or other only not with Lieutenant sition contrasts floor the back statement, on the metal around hard Sergeant also Akre's but with Jaco- van, compartment police sandwiched the by’s with *25 juror sonable not compelled would be to with the dissent’s characterization thereof way, see juror the facts this a reasonable here.”). But I do not believe such is ap- could, justifiably would, not most but propriate, in this case in which a man’s life see way given the facts this the record taken, tragically has been and in which a juror evidence. Because a reasonable reasonably could easily factfinder could way, see the facts this stage at this given the evidence record —that find— we way must view the facts this for the the defendant officers deliberately were purposes legal analysis, including of our possibility indifferent the of that man’s most significantly our analysis Rather, how death. I feel it incumbent upon present Odom the explain controls why case. See me to I precisely believe attempt fact, First, In a vain to bolster officers’ testimony Earl’s is neither. it is they position statements that took by care to contradicted the circumstantial evidence legs body center, Lee's that his upon such would not shift that arrival at the detention route, shifted, Judge body en Williams relies the fact on Lee's had he for was found face Earl, Second, that EMT Kathleen who observed down. See J.A. 1503. it is im- being by loaded into the van but peached who herself has merely the fact that Earl was not case, witness, not been this sued in also that participant testified a disinterested also a positioned legs the officers Lee’s police so he would in the events at the station. Prior to Judge least, remain side. According on his the commencement of this lawsuit at Williams, testimony position- Earl’s as to the and before was clear that Earl would not be herself, ing legs must Lee’s be believed even at this sued Earl had incentive make her stage, it is both because '‘uncontradicted” efforts the efforts of the defendant officers "unimpeached.” at appear Ante 308 n. But in reasonable. doing nothing on elude that more than distinguished laying Odom cannot patently Lee on his side was “so inade- contends. Judge that Williams grounds requisite quate” justify as to inference. Williams, Judge Odom According to Indeed, Judge King separate as in his that the defendant ground rested on admits, candidly concurrence “common “responded per- to a in that case guards sense indicates that officers’ actions subjective that awareness ceived risk were ...” at 312. If inappropriate Ante as inappropriate,” dem- response their is, true, undoubtedly this which it then is open- guards’ statements onstrated juror all that a reasonable would need to indicating that the mocking Odom and ly find in order conclude that these officers to be beaten. guards believed he deserved subjective acted “with that awareness their rested on no Odom See ante 307-308. that inappropriate”, were is these [actions] in did the Odom ground. such Nowhere sense, possessed officers common but sim- forth, necessary a set as ele- court even ply safety cared too little about Lee’s indifference, liability ment of for deliberate carry that out clear dictates of common “re- defendant requirement record sense. Given the above-recited evi- subjective spond[ perceived to a risk with ] dence, jury certainly a reasonable could inappro- that [his] [is] awareness finding. this make its re- judgment much less did priate,” For this finding.6 such versal rest III. alone, attempted Williams’ Judge reason arguen- point, accepted Until this I have of Odom is indefensible. distinction holding Judge do Williams’ incredible Judge But were Williams’ revision- even jury possibly could not find holding of the court’s ist characterization were aware of risk inherent correct, would still be in Odom Odom head, putting mask over Lee’s case, is just In this there distinguishable. nose, simple for the reason that mouth if as there was as much evidence holding requires Odom that a reasonable more, “subjectively the officers find have jury could these officers to been recognized ‘inap- were actions [their] deliberately indifferent were whether they per- propriate [the risk existing this increase to the aware of ” herself cor- As Williams ceived].’ But, fact, just holding or not. states, rectly may “a factfinder conclude *26 factually, Judge as unsupportable, perceived a response that official’s [an] is, of Odom attempted Williams’ distinction inadequate justi- as to patently risk sowas legally. actually the fy an inference that official recognized that to the risk his A. under the circum- inappropriate the Viewing appellee proffered before dis- Ante the The stances.” at 303-304. court, and into evidence plain- trict would offer facts in the most favorable Hood, above, trial, exemplars TranZport at of the supra as see tiff-appellee described mask on Lee.7 301-304, juror type spit the used at a could eon- exact reasonable forth, (omit- omitted), 770 (setting 349 F.3d at a Compare 6. ante at 302-304 necessary liability requirement). for deliberate element ting reference to such a indifference, requirement "the the that evi- question the dence must show that official Indeed, using picture logic a is that”[if] subjectively recognized that actions were his words, ... a three-dimen- a thousand worth risk”) (citation light of inappropriate [the] 322 added). description of the

Judge spit (emphases own Ante at n. A Williams’ (which glance factfinder could one Judge foils Williams’ reasonable take itself mask, at an exemplar spit such which deny is attempts later the obviousness of place by held in an elastic on device) top band with this the risks associated reads bottom, which, and on elastic material as follows: Judge description, even under Williams’ TranZport is specifically The Hood de- ” neck, snugly around the individual’s “fits signed to be on when used detainees a reasonably and immediately and conclude exposure risk of officers’ to infectious that the officers must have been aware present. is The [spit mask] disease is leaving spit that such a mask on the unob- bag shaped goes like a or hood and served, handcuffed, extremely and intoxi- over entirely the detainee’s head and already-pres- cated Lee would increase the neck and consists of three sections. The ent suffocating risk his on vomit top-most portion of the mask is made of dying during transport to the deten- nylon netting open a fine that is and see- words, tion center.8 other the spit top from through covers ample mask itself constitutes evidence to detainee’s head to beneath the nose. justify finding the officers under- mask, portion begin- The middle of the danger stood full well the to which Lee ning separated below the nose and exposed when affixed the mask top portion by a thin elastic band Lee, knowing he had vomited and one-quarter wide, less inch is than vomit, might continue to handcuffed him is made of a breathable bacteria-filtering back, behind him in the very loosely medical fabric that covers van, back of the unobserved and unobserv- chin the detainee’s mouth and area. able, for the duration of the drive The medical is not form-fitting, fabric adult detention center. pouch but rather acts as around the B. head. Beneath wearer’s the bacteria- filtering fabric medical is the bottom- Ignoring entirely power of the mask section, most a four-inch sleeve made of evidence, itself as circumstantial Judge a gauzy lightweight elasticized material three-pronged Williams constructs a ratio- snugly, although tightly, support nale to holding her “the evi- fits neck easily around detainee’s and is dence does not show that the incremental or expandable. stretchable spit associated with the mask was so object sional worth Tr. of cal Oral fabric covers a wearer’s mouth chin million/' Arg., appellee exemplar Earl, indeed, “very has even included loosely.” area EMT spit part appeal. masks as of the record testimony whose “disinterested” Hood). (exemplar TranZport See 5 J.A. extensively Williams relies in other contexts one), (although not in this see ante 308 n. text, mask, tight that the mask testified "wasn't real I As assert even as *27 either,” it, just and it wasn't loose but that "it Judge provides Williams describes itself fit.” 1473. J.A. Nor can it be said that the sufficient circumstantial evidence that the of- elasticized at the dangers material bottom which “fits leaving ficers were aware of the in it snugly” during transport easily on around the wearer's neck "is Lee to the detention said, however, least, expandable.” very or Judge center. That stretchable At the Williams' description actually represents easily this yet material would not be stretchable another light expandable perspective failure set or to forth the facts in the from the relevant most case, plaintiff-appellee. particu- heavily-intoxicated favorable to the in this that of a de- lar, a reasonable factfinder would not be com- tainee who has been handcuffed behind the pelled bacteria-filtering find that to the medi- back. Judge contradiction to the evidence that as to in of this incident time the obvious supporting the knowledge.” describes as of actual Williams an inference justify (1) loosely claims that the mask Judge proposition Williams at 305. Ante fit sufficiently loose-fitting enough to out the simply mask vomit the was that flow for Moreover, officer that fluids in the hearing at least one bottom. before convince to (2) bottom, that the in simply flow out the court and its brief filed could district recognize any possibly emphatically could not maintained appeal, appellee spit a using such to disingenuous associated it for appellants risks that was (3) training, and specialized loose-fitting mask absent claim that the mask was did a medical technician that because even out the enough simply for flow vomit dangers inherent use recognize mask, the not the because the officers bottom of mask, not dangers must of those the liquids the into expelling had observed Judge of Williams’ prong Each any liquids obvious. not flow out mask but had seen on the record unsupportable 1745-46; is as rationale Appellee’s the bottom. See J.A. us as the ultimate conclusion before is Br. at the rationale is construct- of which support And, argument, at oral Indeed, Judge each of prong as to ed. questioning Judge Williams herself from rationale, Judge either Williams

Williams’ nature of mask loose-fitting as to the the misstates directly relevant facts or omits could flow out the bot- whether fluids present. that does facts she the tom, posi- press continued to this appellee tion: expectorated some- “at He first states that least COUNSEL: Judge Williams hood, none it leaked ..., into the but viewing thing the manner one officer when neck, out. fit around Lee’s in which mask impression that it fit away with the came thought I WILLIAMS: Well JUDGE that, enough in the event Lee loosely such did, that down his throat that it it went

vomited, room ‘plenty there his chest. onto ” kind of exit out.’ Ante at liquid lot of No, no. That was COUNSEL: 1272). Judge I (citing J.A. understand us- point point. whole That was this, that mean Williams thing ing apparently. this loosely, merely fit in fact did impression that fluid one officer had Indeed, fact Arg. Tr. of Oral mask, flow the bottom of could spit point using” “whole latter, it if it means the would be because leaking prevent fluids from mask was summary judgment analy- irrelevant area, entirely the face would be out from assumption, the evidence sis. On conclu- jury for a to reach the reasonable loosely anything mask fit uncon- who, in deposition sion that the officer tradicted. lawsuit, de- filed his appellee taken after so “extremely loose” with, mask as own scribed the begin

To Williams’ de- bot- easily flow “would out fluids scription equipped the mask as unth tom,” dissembling simply J.A. on the bottom elastic material “fits liability.9 an to avoid person’s neck stands effort snugly” around the mask, had that the mask vomit an officer stated into 9. EMT Earl also testified that *28 station, through vomit gap which underneath the chin ques- to her her at the in to course, as even 758. Of could flow out. J.A. happen would if Lee were to tion about what hardly Judge It could thus be less tenable for Williams here serves to con- rely Judge at all on this “evi- Williams firm her today that decision cannot be loose-fitting dence” of the mask’s nature. with reconciled Odom.10 2. 3. Next, Judge Williams asserts that the experience officers’ lack of direct “prior Finally, Judge Williams focuses the type any with this of mask or train- formal placed fact that the in Lee the van ing plausi- on its use ... the diminishes] in the presence pro- a “trained medical bility of the inference that the officers fessional,” EMT In particu- Kathleen Earl. actually recognized the risk associated lar, Judge emphasizes Williams that even use.” Ante at In its 305. other being as Earl observed the words, Judge rejects Williams that a rea- van, “expressed she no concern at that appellants’ officer in the sonable shoes spit specifically time about the mask and recognize spit putting could that a mask of effectively agreed with the officers that type the described above a vomiting, over placing Lee on his side was sufficient highly person’s intoxicated mouth and mitigate any risk to Lee.” Ante at 306 nose, would increase the risk that added). (emphasis Accordingly, Judge person might suffocate on his vomit. This reasons, Williams fact a “the trained precisely reasoning is the kind that was recognize medical technician did the employed by majority in Robles v. risk transporting associated with a hand- (4th George’s County, Prince 302 F.3d 262 wearing cuffed inebriated person spit a Cir.2002), to hold that officers could not strongly mask suggests that possibly have handcuffing known that a something less than obvious.” at Id. 306. pole detainee to a shop- middle ping morning center at 3:00 Once again, Judge reasoning for no Williams’ is law purpose enforcement refuted whatever evidence record. fact, clearly violate the detainee’s Judge established Williams’ assertions rights. silent, Given our court’s but un- medical “expressed technician no concern mistakable, Robles, repudiation of at that spit specifical- time about the adoption of ly this same line of reasoning by effectively and agreed with the officers Judge description gers putting Williams' spit should make inherent mask over a clear, inspection exemplar and as spit highly intoxicated individual's head then confirms, gap. masks the mask has no such unobserved, leaving alone him be recon- Indeed, imagine See J.A. it is hard to opinion Bailey ciled with her own Kenne- how of the officers at the scene could There, (4th Cir.2003). dy, 349 F.3d 731 as honestly thought have that the mask had supra, Judge discussed Williams held that a gap. appellants, such a fore, At best for the there- law reasonable enforcement could officer testimony proves Earl's that one officer expected to realize that it would be unconsti- misconception labored under merely tutional to take an into individual cus- gap permit mask had a at the bottom to tody upon responding to a 911 call that the clearly release of fluids. But this is insuffi- suicide, person was about to commit even summary judgment cient award appel- though, Judge recognized, Williams there lants, given contrary the substantial evidence clarity” governing was a "lack of in the law permissible inference. constitutionality psycholog- of seizures for course, purposes. ical evaluation See id. at Of 739-41. neither can Williams' case, holding inconsistency Bailey, in this The between on one reasonable law hand, other, expected enforcement officer could today, not be and her decision on the appreciate, special training, without palpable inexplicable. the dan- at once both *29 arrival, Upon technicians’] medical [the on his side was sufficient Lee placing that apparently told fraught Deputy [them] Lee” is with Garlow any risk to mitigate to wearing Transport that Lee was the inaccuracies. demonstrable spitting. he was This Hood because with, actually express Earl did begin To false, prevented and it statement was specific about the the officers concern to removing the medical technicians from the spit vomit into that Lee would risk the thorough mask a more evalua- no for con- need look further mask. One tion. page Judge nine of of this than firmation J.A. Because the defendants’ false Judge where opinion, own Williams’ prevented fairly statement Earl from as- point “At herself states: some Williams Lee, to sessing the risks who—unbe- examination, EMT Earl asked during her previously knownst to Earl —had been spit use about the of vomiting, agreement” no with “effective inquired about what specifically re- adequacy medical the officers’ should Lee vomit might happen Earl’s sponse can be inferred from actions. (empha- Ante at 299 his head.” mask over added). that the record shows sis Because denying significance In offi- not expression of concern occurred cer’s to Earl that had failure inform Lee van, it loaded into the long before Lee was vomiting, at n. Judge been see ante failed irrelevant that Earl to largely give any Williams thus fails to credit to the concern, previ- which had repeat this she County conclusions drawn Fairfax officers, to ously when Lee expressed in- Department its own internal Police only into minutes later. the van was loaded also fact vestigation. She overlooks the may that Earl have to while been able Second, contrary Judge to Williams’ intoxication, she guess at Lee’s never statement, “effectively did EMT Earl that he he guessed was so intoxicated that placing the officers that Lee agree[ ] with already. had In- vomited several times mitigate any his to on side sufficient deed, in her that deposition, Earl admitted fact, risk to Lee.” officers withheld no to Lee’s actual she made effort assess the most information she Earl salient intoxication, she detected level of because to appreciate even would have needed odor, idea no and that she no what “ha[d] Lee, “effectively less to much of intoxication was.” J.A. level in doing the officers’ agree” conduct (In fact, course, Lee’s actual level of nothing placing more than Lee on his side 0.35, point at at least intoxication For, mitigate that risk. was sufficient a level which is more than see ante initial as inquiry Earl’s percep- impairment sufficient cause Lee, placed on why a mask had been spit suf- processes, tion and mental and almost Lee told Earl not that had the officers unconsciousness). ficient to cause “vomiting,” had been but been Indeed, then, anything, Earl If Earl’s role “spitting.” herself testified actually leading this law-suit was to Lee’s death it was events after Lee had not to undermine the obviousness that she learned that serves first filed use, in the spit risk inherent mask’s actually vomiting been before asserts, to under- him. 757. As Williams mask ivas J.A. risk. De- Police it- score the obviousness County Department the Fairfax Earl that failure to tell spite internal the officers’ during investiga- self concluded its al- to vomit actually Lee had been seen tion of Lee’s death: *30 of her ready, nonetheless raised own Earl SHEPHERD, Grisby, Felicia Alex Mel-

accord the concern vomit Jackson, Thomas, vin Gerald spit into the mask. See J.A. 758. From Claudine Falkner, Razo, this, juror Criswell, Rufino a reasonable could conclude not David Larry Oliver, Cloudy, spit the risks associated Michael Mark obvious, Fletcher, Quincy Randy were these risks Ratcliff and Horn, actually Plaintiffs-Appellees, called had been officers’ attention and were their minds at fresh the time loaded Lee into the van. CO.,

INTERNATIONAL PAPER Defendant-Appellant. IV. No. 03-20721. precedent Under this circuit’s jury reasonably could conclude that the Appeals, United States Court of officers’ conduct in this ease would consti- Fifth Circuit. tute deliberate if indifference even the offi- of the specific ways cers were unaware May which use of the mask exacerbated the

admitted aspirate risk that Lee would on his own vomit. It follows a under fortiori that a jury

Odom could conclude that the officers’ conduct constituted deliberate in-

difference, to the extent that the officers were aware that of the spit use mask could suffocation,

increase the risk to Lee of yet nothing prevent did more Lee’s death than to turn Lee his side. Because a jury could readily conclude that these offi- precisely

cers were so as this aware — jury held court that a could find that the Odom were so aware dangers that befell Odom—it is doubly indefensible for the majority to hold that jury

no could conclude that the officers’ conduct rose to the level of deliberate in- difference.

I would affirm the district court’s denial summary judgment to the defendant officers, and majority’s I dissent from the refusal to follow Odom and do the same. notes the interview Lieutenant on one side and between a metal divider Dooley purposes for conducted Internal other, 23, 2001, during twists wooden bench on the the May day review one Affairs on death, thirty-minute to the merely: and drive turns after Lee's which stated 27; Appellee’s center. Br. "Transport wagon up," detention See to clean —easier Dooley’s J.A. at 638. mention concern see also and included no legs positioning Virginia, as careful of Lee’s so he States v. United West 339 F.3d (4th Cir.2003). 212, 214 nothing would not over was more than roll relatively automatic efforts to shove Lee’s legs compartment they into so that the fit.5 would Williams’ distorted recitation of bottom, actually At when viewed the facts, itself, the doubts raises about the light to plaintiff-appellee, most favorable credibility of her claim that Odom is distin- the that the facts show officers chose the guishable on ground the in Odom van over the cruiser no reason better there evidence that the defendants convenience, than despite their own responded subjective “with awareness that safety, risks to and without feel- Lee’s their was inappropriate,” while in ing required by that this choice was “ac- this case there I am tempted is none. cepted practice procedure”; they simply “to commend the reader laid Lee onto the hard metal floor the majority opinion in urge ] Odom and [ (al- back of without caring the van about reader contrast it with” facts of) though fully possibility aware case viewed in when most favor- position his shift might or that he plaintiff. Compare able to ante at 308 even hit his on the floor head or sides of though n. (“[Tjempting may it be to compartment; the transport they point-by-point address the dissent’s char- did nothing approaching position- careful acterizations of the facts rationale of ing of ensure legs he not roll would that, view, in my square Odom do over, merely shoved his feet inside the majority opinion I commend compartment so could close door majority opinion reader in that way. him his send a rea- Though urge case and reader contrast

Case Details

Case Name: Parrish v. Cleveland
Court Name: Court of Appeals for the Fourth Circuit
Date Published: Jun 18, 2004
Citation: 372 F.3d 294
Docket Number: 02-2307
Court Abbreviation: 4th Cir.
AI-generated responses must be verified and are not legal advice.
Log In