248 A.D. 269 | N.Y. App. Div. | 1936
The sole question presented upon this appeal is whether the defendant killed, that is, caused the death of George Lavanway within the meaning of the sections of the Penal Law defining manslaughter in the second degree (§§ 1052 and 1042).
On the 14th day of November, 1935, George C. Lavanway was standing behind a small delivery truck which was parked on the right-hand side of a street in the city of Watertown. The defendant
The accident broke both legs of Lavanway above the knees. There was a compound fracture of each femur, that is, the flesh was broken to the surface. There were hemorrhages. There was great traumatic shock. The surgeon in charge, Dr. Cooper, was unable to bring the segments of the bones into apposition. He had as a consultant Dr. Calkins. Repeated efforts from time to timé were made to bring the ends of the bones together. About four weeks after the accident, that is, on the thirteenth day of December, with the injured man’s consent, operations were performed by Drs. Cooper and Calkins on the two legs. Before performing the operations an examination of the patient was made and the doctors determined that the traumatic shock had so far subsided as to make the operations safe. The operations were done simultaneously, one surgeon operating on one leg, the other on the other. The operations were what are called open operations. Incisions were made and pieces of the tibia, the larger bone in the lower leg, about four inches in length having been removed were fitted into grooves in the upper and lower segments of the respective femurs. In this way the broken parts of the femurs were brought into proper conjunction. The operations were properly performed, so far as appears, and in good medical and surgical practice were proper operations to perform. Nevertheless, four hours after the operations were performed, Lavanway died. There was no malpractice on the part of the physicians, none is suggested. Death resulted from surgical shock, immediately, added to the traumatic shock, as immediate cause. One surgeon testified that they, the surgeons, were mistaken in their belief that the traumatic shock had subsided to such an extent that Lavanway could survive the operations. The operations were not performed to save life,
The wound here involved was not a mortal wound. It was not at the time of the operation dangerous to life. It was determined in an early English case, (1662) (Rew’s Case, Kelyng, J. 26), followed in Regina v. Holland (2 Moo. & Rob. 351), referred to in Halsbury’s Laws of England (9 Halsbury [2d ed.], 429) and cited in Commonwealth, v. Hackett (2 Allen, 136), that the chain of causation is not broken by carelessness on the part of the wounded person or refusal to allow an operation on the part of the injured person. These authorities are mentioned in People v. Kane (supra). There would seem to be much more reason for finding a break in the chain of causation where the injured person himself failed to co-operate in treatment and care than where physicians or surgeons carefully and properly intervened. If we look at the case as presenting the conventional question of natural and probable consequences, we must conclude that the intervention of surgeons to set a broken bone was foreseeable, even though the particular character of the surgical operation may not have been; and the consequences of such operation, whatever they may be, would, in our opinion, fall within the scope of the natural and probable consequences of the wound.
The conviction should, therefore, be affirmed.
All concur. Present — Sears, P. J., Taylor, Edgcomb, Thompson and Crosby, JJ.
Judgment of conviction affirmed.