BRUCE L. STEWARD CLACKAMAS COUNTY 15-0306 AUTOPSY PERFORMED: BY: Larry V. Lewman, MD ON: Monday, February 16, 2015 AT: 13309 SE 84th Ave, Suite 100, Clackamas, Oregon 97015 CAUS.E OF DEATH: MANNER OF DEATH: - 9:15 a.m. GUNSHOT WOUNDS TO THE CHEST SUICIDE ANATOMIC DIAGNOSES: GUNSHOT WOUND #1 _ HIGH-VELOCITY GUNSHOT WOUND WITH: A. Entrance - right midneck. B. Perforations of: 1. Trachea. 2. Right subclavian aftery. 3. Right lung. 4. Right hemothorax. C. Bullet exit - right posterolateral chest. D. Front-to-back, left-to-right, above-to-below trajectory II. GUNSHOT WOUND #2 _ GUNSHOT WOUND OF CHEST WITH A. Entrance - left arm. B. Peforations of: 1. Left arm and chest wall. 2. Left lung. 3. Aorta. 4. Thoracic vertebra. 5. Ríght lung. C. Bullet recovered - lower lobe of right lung. D. Front-to-back, left-to-right, above-to-below trajectory. illilnilflililililuililililil t( BRUCE L. STEWARD CLACKAMAS COUNTY 15-0306 Page 2 III. PERFORATING GUNSHOT WOUND OF POSTERIOR RIGHT UPPER ARM WIÏH: A. Front-to-back trajectory. EXTERNAL EXAMINATION: The body is that of a fully clad, normally nouríshed and developed caucasian male appearing consistent with the stated age of 34 years' He measures 71 inches in length and weighs 176 pounds in the clad state. Rigidity is complete' Lividity is posterior and pale. The body is externally cold. RAL LUD R graying The hair is curly, black and graying slightly. There is a full-face, black, beard on the chin and mustache on the upper lip. The irides are brown' The is noted con.iunctivae are pale. No petechial hemorrhages are noted. Bloody fluid chipped at in the nose and mouth. The teeth are natural with several upper teeth the edges. He is fully clad in a black, long-sleeve hooded sweatshirt; underlying green T-shirt with "Oregon Ducks" logo; gray trousers secured by black belt, properly are buckled in place; black long underwear; gray socks; and black shoes' There 2 pair of socks; there is an inner pair of white socks. The clothing is removed and submitted to clackamas county authoríties. There is also some blue Clackamas unden¡vear inside the long undenruear. Pocket contents are taken by there is a Cou.nty Medical Examiners. There are 2 T-shirts: the green one, and black T-shirt on top beneath the sweatshirt. The,neck and chest are unremarkable except for injuries to be described. There is an Asian symbol tattoo in the left upper chest. No abdominal surgical scars are noted. The external male genitalia are unremarkable. There is a tattoo of a leopard or something similar in the right deltoid region. The antecubital fossae, forearms and hands are free of venipunctures or perivenous scarring. There is I BRUCE L. STEWARD CLACKAMAS COUNTY 15-0306 Page 3 There is a minor linear abrasion no jewelry currently present on either hand' and another linear abrasion over over the middle phalanx of the right index finger There is a punctate abrasion over the proximal phalanx of the right middle finger' is a 3/16-inch' unpatterned {he middle phalanx of the right ring finger' There dorsum of the left hand at the base abrasion with adjacent focal abrasion on the 3/4-inch contusion over the right of the thumb. There is a fading, reddish brown, contusion over the left distal tibial midtibial plateau and another fading, 112-inch There is a large tattoo plateau. Above this is a greenish, small fadíng contusion' of the neck to the midlumbar over the posterior trunk extending from the base present and the numbers "3-17-53" region with the words "LARRY AND SlLVA,, "10-17-10" on the right. The posterior trunk is otherwise on the left and the posterior neck' unremarkable. The word "FAITH" is tattooed across REGENT INJURIES - HEAD: ridge and the left There are minor ab'rasions above the lateral right supraorbital forehead just above the left eyebrow ridge' GU HOT INJURIES: purposes of identification only and The gunshot wounds will be numbered for the do not imply a chronologic sequence GUNSHOT WOUND #1: of the neck about an inch There is an entrance gunshot wound in the midline inch, circular defect with a below the thyroid cartilage. Thís consists of a 114 2 0',clock' corresponding 1/16-inch to 1/B-inch abrasion iim thicker at 12to sweatshirt' There is no wounds are noted in the neckline of the T-shirts and grossly visible surrounding fouling or stippling' at a point 53-112'nt*' The bullet exits through the posterolateral chest wall from the midline' The bullet above the level of the right heel and about 7 inches It BRUCE L. STEWARD CLACKAMAS COUNTY 15-0306 Page 4 defect which is exits through a roughly triangular, 3/B-inch-in-greatest-dimension minimally abraded on the lower margin. right The bullet path has a left-to-right, above-to-below trajectory, perforating the side of the trachea, producing an approximately 1-1l2-inch-in-greatest- clavicle dimension, high-velocity defect passing behind the head of the right perlorates all fracturing one margin; transects the right subclavian artery; and exÍts three lobes of the right lung. The bullet fractures right ribs 7 and 8 and chest through a 112-inch-in-greatest-dimension defect in the right posterior lateral wall, 53-1/2 inches above the right heel. GUNSHOT WOUND #2: There is an entrance gunshot wound of the deltoid region of the left arm centered 59-112 inches above the left heel. This is a circular, 3/8-inch-in-greatest- dimension defect with a uniform surrounding abrasion rim measuring 1t16to 1/8 inch. lt is slightly thicker from approximately 2lo 5 o'clock. There is a corresponding wound noted in the garments, but no grossly visible surrounding fouling or stippling is Present. The bullet passes posterior to the humerus, enters the left pleural space by passing through the left second interspace, perforates the upper lobe of the left and 3td lung, passes posteriorto the heart and mediastinum, perforates the aorta vertebral body, and passes through the lower lobe of the right lung' An lung approximately .40-caliber, copper jacketed bullet is recovered from the left and submitted. The path of the bullet is left to right, slightly front to back, and sligh¡y above to below. The bullet is retrieved and given to Clackamas County investigators. There is approximately 800 cc of liquid blood in the left pleural space and 300 in the right pleural space. I BRUGE L. STEWARD CLACKAMAS COUNTY 15-0306 Page 5 GUNSHOT WOUND #3: There is a through and through gunshot wound of the right posterior upper arm just above the elbow. This is directed front to back with the entrance wound just above the elbow creating an abraded, 112x3l$-inch-in-greatesldimension defect. The wound passes through the subcutaneous tissue and immediately exits from the medial upper right arm through a 3l4x1l2-inch defect. A corresponding wound is noted in the sweatshirt with no grossly visible surrounding fouling or stippling. ROUTINE INTERNAL EXAMINATION: The, thoracic and abdominal organs maintain their normal anatomic relationships. There is generalized visceral pallor from blood loss. The bilateral hemothoraces havê been described. NEGK: The soft tissues of the neck, larynx and cervical spine are unremarkable excepting the injuries previously described. The upper airuuay is removed including the tongue. No additional abnormalities are noted. There is bloody fluid within the upper ainruay. CARDIOVASGULAR: The heart is normal in size, shape and weight. The ascending pulmonary circulation is unremarkable and consists of fluid blood. The coronary arteries arise and are distributed normally, exhibit a right dominant pattern, and are wídely patent without atherosclerosis of any significance. The myocardium, heart valves, aorta and major arterial pathways of the body are unremarkable for naturral disease. BRUCE L. STEWARó CLACKAMAS COUNTY 15-0306 Page 6 RESPIRATORY: The lungs are collapsed 'from the gunshot wounds, weigh approximately 750 grams, show the gunshot defects previously described but no other abnormalities. GASTROINTESTINAL: The esophagus is unremarkable. The stomach contains no significant amount of food material. The remainder of the gastrointestinal tract is unremarkable. LIVER, GALLBLADDER AND PANCREAS: The liver is normal ín size, shape and weight. lt is normal red-brown in color and shows no evidence of significant steatosis, cirrhosis or other abnormality. The gallbladder, pancreas and extrahepatic biliary system are unremarkable. HEMIC AND LYMPHATIC: The spleen and lymph nodes are unremarkable. GENITOURINARY: The kidneys ate normal in size, shape and weight and are unremarkable externally and on section. Urine from the bladder is saved for toxicology. ENDOCRINE: There are no gross abnormalities of the pituitary, thyroid or adrenal glands. MUSCULOSKELETAL: There are no gross abnormalities of the axial or appendicular skeleton aside from the aforementioned injuries. i BRUCE L. STEWARD CLACKAMAS COUNTY 15-0306 Page 7 HEAD: The scalp is reflected in the usual manner. There are no scalp or pericranial hemorrhages. There are no skull fractures. The brain is encased in a thin, translucent piarachnoid. The arteries at the base of the brain are unremarkable. Section through the cerebral hemispheres, brainstem and upper cervícal spinal cord shows no evidence of natural disease or injury. MICROSCOPIC EXAMINATION : None. TOXIGOLOGY: Blood and urine submitted for routine toxicology. ADDENDUM: The body is re-x-rayed following autopsy examination, and no residual metallic fragments are present. LVL:jl (Job 1003687) OF'FICE OF THE STATE MEDICAL EXAMINER NARRÁ.TTVE ( CLACKAMAS STEWARD, Bruce Lee I Iilil ililI lil lll]l lill ilill ililr ilil lill CLACKAMAS 15-0306 Summary: This case, discussed with Deputy State Medical Examiner Dr, Lewman, involves the death of a 34-year-old Caucasian male who was shot by Sheriff's deputies when he confronted them with a hatchet and large knife. It appears that,he was shot multiple times and was declared dead at the scene. Dispatch records indicate that the subject was implicated in a "suicide by cop" threat occurring two days prior to this incident. lnformation leading to this investigation: According to Clackamas County dispatch lecords, at approximately 1031 HRS on 2t1512015 someone called 9 -1-1 to report that a man had just stabbed someone and that he also had a gun. The dispatch record índicated that the caller was male and that he hung up the phone without providing any further details. Dispatcher's efforts to call back went unanswered, but the callers' cell phone number was soon associated to a subject and a 9-1-1 call from 211312015 during which the subject apparently threatened suicide by cop. According to the dispatch record, numerous larv enforcement personnelwere dispatched to the call, A coordinated response to the scene was prepared and several of the deputies and officers approached the rural Colton area home where the subject was located. The dispatch record indicates that law enforcement personnel encountered the subject outside the residence and that he had a hatchet and what was later found be a large knife in his hands. ' Deputies challenged the subject, but he did not comply. Rather, the dispatch record indicates that he walfeO toward the deputies with the hatchet and knife in his hands. Thereafter, several of the deputies shot at the subject and he collapsed to the ground. The call of shots fired was radioed to dispatch at approximately 1121 HRS on 211512015, according to the dispatch record. Deputies approached the subject, dragged him several feet away from the hatchet and knife and then secured his hands behind his back with handcuffs. He was then evaluated and determined to be dead at the scene. Sheriff's personnel radioed that the subject was deceased at approximately 1 126 HRS on 211512015, per the 9 -1-1 record. Response and arrival data: was notified of the death at approximately 1350 HRS by 9-1-1 dispatch and I arrived on scene at approximately 1451 HRS on 211512015. . Due to the delay in being notified of the death; detectives, criminalists and a host of supporting police and Sheriff's personnel were already on scene and actively conducting their investigation when I arrived. I Scene setting and description: The scene is a rural single family home property located at the extreme north end of south Wall Street in 'ton. Wall Street is a gravel, one lane road in this area that ends at the driveway leading to the address of , incident. The subject is found in a gravel turn out or parking area located on the east side of the driveway leading to the home. This turnout area is approximately half-way between the start of the driveway (north end of south Wall Street) and the home itself. The area to the east of the turnout is wooded and the area to the west of the -nout is a landscaped garden area leading to the front porch of the residence further to the west. The subject is lying supine on the gravel as described later herein. His head is toward the south, feet generally north:. A few feet to the north of the subject, on the gravel, is a wooden handled hatchet and a plastic handled kitchen utility knife similar to a "ginsu" style. A small stain of blood is present on the gravel near these items as well. A black disposable glove is lying on the gravel a few feet north of the blood stain. A linear disturbarice in the gravel leading from the subject's position to the area of the blood stain suggests that the subject was indeed dragged several feet to the north after he collapsed on the gravel. Decedent position and description: The subject is lying supine with his hands cuffed behind his back. He is clad in a pair of black boots, gray cargo pants, green t-shirt, black and white printed t-shirt and a black zipped sweatshirt with hood. The hood is up and covers much of the subject's head. His face is stained with dry blood. The subject is centrally warm and distally cool. Livor blanches to moderate pressure and is present on the posterior aspect of the body. Rigor is noted in the hands and neck. The subject is approximately 71" in height and weighs approximately 176 pounds. He is a Caucasian male who appears consistent with the age of 34. A preliminary e¡amination at the scene reveals numerous defects in the sweatshirt overlying the chest and abdomen. The garments are stained with blood and it appears that the subject has been shot several times ference to Dr. Lewman's report is urged for a complete physical description, list of injuries and manner and r,¿usê of death'in this case. Relevant h istorical information : At the time of this repoft, the only relevant historical data available to me is the previously noted dispatch report implying,that the subject may have threatened suicide by cop on2113l2O15. I had no access to the subject's family or to the law enforcement personnel involved in the shooting incident. Previous medical history and current medications: I have no information about the subject's previous medical or mental health conditions or his medication use history. lnvestiqators actions : After obtaining several photos and completing a preliminary evaluation of the subject I unlocked and removed the handcuffs securing his hands behind his back. I transferred these hinged style handcuffs to Sheriff's Criminalist Hatfield for fudher handling as indicated. I then placed the subject on a clean linen sheet and into a protective pouch. Thereafter, he was secured to my cot and subsequently transported to the medical eraminer's office where abbreviated intake piocedures were completed per protocol. Personal effects were on the subject and/or in his clothing pending examination by Dr. Lewman. Familv notification and disposition plan: Sheriff's Detective Tenvay and Captain Rhodes have interviewed the subject's mother. She has selected Bateman Carroll Funeral Service in Gresham to assist wifh funeralarrangements. ' .,rnclusion and follow up plan: Sheriff's investigators are continuing to evaluate and gather details about this incident and the subject. Reference to Sheriff's case # j5-4545 is urged for details. I have no further information to add to this report at this tíme. lf furlher information becomes available it will be added in a supplemental report.