People v. StevensonPeople v. Stevenson
Opinion
In this case we hold that the police may ask questions of an arrestee which are prompted by a concern that the arrestee’s life is in danger as a result of a possible overdose of narcotics without first advising the arrestee of his Miranda rights.
Factual and Procedural Summary
Deputy Sheriff Richard Schlegel testified that he was on routine patrol in a high-narcotics area of Los Angeles County on June 1, 1995, about 12:30 a.m., when he first observed appellant Jeffrey Andre Stevenson. Appellant also saw Deputy Schlegel and as the deputy approached appellant, appellant turned and walked rapidly away while, at the same time, placing something in his mouth. As appellant lifted his hand to his mouth, Deputy Schlegel saw a rock of cocaine drop to the ground. Deputy Schlegel arrested appellant, recovered the cocaine, looked in appellant’s mouth and observed a white residue in appellant’s mouth. It looked to the deputy as if appellant had chewed up cocaine.
Concerned about a possible overdose, Deputy Schlegel immediately transported appellant to a local hospital where he was treated by emergency room physician Dr. Brian Harris. In Dr. Harris’s opinion, appellant was at risk of acute myocardial infarction and hemorrhagic stroke. Appellant became combative when the doctor attempted to pump his stomach. Both Deputy Schlegel and Dr. Harris repeatedly asked appellant if he had ingested narcotics. Appellant continually denied ingesting any controlled substances but eventually, after being informed of the risk of coronary artery disease and myocardial infarction, appellant reluctantly admitted he had swallowed six to eight pieces of rock cocaine. As a result, Dr. Harris again attempted to pump appellant’s stomach, but aborted the procedure when appellant vomited macerated fragments of what could have been cocaine and seemed in no further danger of an overdose.
Appellant and his friends, Lavell Austin and Anthony Breland, testified appellant had just left a liquor store when he was arrested by Deputy Schlegel for no apparent reason; they did not see appellant with any cocaine and the officer did not find any after searching the area. Appellant denied possessing or ingesting cocaine or anything else prior to his arrest. He *1237 denied that Deputy Schlegel took him to the hospital immediately. They stopped at the police station for five to ten minutes on the way. He also denied telling Deputy Schlegel or Dr. Harris that he swallowed cocaine. Appellant admitted he had been convicted of selling cocaine in 1988 and commercial burglary in 1992; since then he has not used, possessed or sold cocaine and has worked as an in-home nurse.
The jury convicted appellant of possession of a controlled substance in violation of Health and Safety Code section 11350. In a court trial, the 1988 sale of a controlled substance conviction was found true by the court. (
Discussion
I.
The Suppression Motion
Appellant contends that the trial court erred in refusing to suppress evidence of his admission that he had swallowed six to eight pieces of cocaine because he had not been advised of his
Miranda
rights (see
Miranda
v.
Arizona
(1966)
*1238
“[T]he two basics of the
Miranda
opinion relevant here are (1) its assumption that the purpose of custodial interrogation is to further criminal prosecution, and (2) its public policy to outlaw police misconduct relating to the third degree. Neither point is central to the question of police conduct in emergencies, where the primary objective of police action is to save human life.”
(People
v.
Riddle
(1978)
The scope and elements of what constitutes a valid instance of exigent circumstances were well defined in the
Riddle
case. There, the wife of a burglary victim was missing. The police took the burglary suspect into custody and initially asked him questions about the whereabouts of the missing woman without first advising him of his
Miranda
rights. This was held not to be error.
Riddle
determined that when the possibility of saving the life of a missing victim exists, noncoercive questions may be asked of a suspect in custody, even though the answers to the questions may incriminate the suspect. In reaching this decision, the court relied in part on the United States Supreme Court’s decision in
Mincey
v.
Arizona
(1978)
The court in
People
v.
McDermand
(1984)
In our view, this case also falls within the purview of the rescue doctrine and we are satisfied that all three Riddle requirements are present. The *1239 deputy had a reasonable belief that appellant had consumed cocaine based upon seeing appellant place his hand to his mouth, the recovery of the rock of cocaine which dropped from appellant’s hand as his hand went to his mouth, and the white residue in his mouth. Deputy Schlegel had learned at the sheriff’s academy that cardiac arrest and death can result from a cocaine overdose. Unsure of the quantity of cocaine and concerned that appellant had taken an overdose, the deputy questioned appellant about the amount of cocaine he had ingested. Appellant denied consuming cocaine, but the deputy thought otherwise. Deputy Schlegel testified that he felt he had an “obligation and responsibility” to make sure that appellant was treated if appellant had, in fact, consumed any narcotics. Thus, for medical reasons, the deputy did not want to book appellant and place him in custody at the station. Instead, he took appellant to the hospital.
At the hospital, Deputy Schlegel informed Dr. Harris that he believed appellant had consumed cocaine. Dr. Harris testified that when appellant was received at the hospital, his heart rate was very elevated, he was anxious, very diaphoretic, sweating, and appeared to be emotional. In the doctor’s opinion, appellant’s elevated heart rate and other aspects of the physical exam put him at risk for acute myocardial infarction and hemorrhagic stroke. The doctor had seen cardiovascular disease and death and hemorrhagic stroke with people who had ingested small amounts of cocaine. However, other substances also cause a patient to exhibit appellant’s symptoms. The doctor attempted to initiate a number of diagnostic modalities to determine which substance appellant ingested, including gastric lavage or pumping his stomach which requires placing an oral gastric tube into his stomach to remove the substances so they could be sent to the lab for analysis. But appellant became combative and would not allow any of the procedures. Thus, the doctor could only rely on “history.” Accordingly, both the doctor and the officer inquired many times of appellant if he had ingested any controlled substances that evening. Finally, after explaining to appellant the risk of coronary artery disease and myocardial infarction, appellant reluctantly said he had swallowed some rocks of cocaine.
On the facts we have outlined, we see no rational reason to exclude appellant from the reaches of the rescue doctrine. When a life is in danger, the law should make no distinctions. Accordingly, when it is the arrestee’s life which is in jeopardy, the police are equally justified in asking questions directed toward providing lifesaving medical treatment to the arrestee without first warning the arrestee that his answers can be used against him in a court of law. The Miranda advisement was meant to protect an accused from the loss of his right to silence, not from the loss of his life. The doctrinal underpinnings of Miranda do not require us to exclude appellant’s *1240 statement, thus penalizing the deputy for asking the very questions which were the most crucial to the effort to provide appellant with medical treatment. (Cf. New York v. Quarles, supra, 467 U.S. at pp. 657-658 [81 L.Ed.2d at pp. 557-559].)
II.-V. *
Disposition
The judgment is affirmed.
Vogel (C. S.), P. J., and Hastings, J., concurred.
Appellant’s petition for review by the Supreme Court was denied March 26, 1997.
Notes
See footnote, ante, page 1234.