Rachel Joy Scott, born August 5, 1981:
1. Perforating gunshot wound to the head with:
a. Entrance, left temple.
b. Exit, right parietal scalp.
c. Fractures of the calvarium and basilar skull.
d. Perforating lacerations of the cerebral hemispheres including associated hemorrhage.
2. Perforating gunshot wound to the trunk with:
a. Entrance, left lower chest.
b. Exit, right upper chest.
c. Perforating lacerations of the left lung, heart and right lung.
d. Associated bilateral hemothoraces, hemopericardium and nemomediastinum.
e. Fracture of the right fourth rib.
3. Perforating gunshot wound to the left upper extremity with:
a. Entrance, left posterior arm.
b. Partial exit, left anterior arm.
c. Recovery of bullet fragments, within bullet track.
d. Fracture of the left humerus and associated neurovascular and soft tissue injury.
4. Perforating gunshot wound to the left lower extremity with:
a. Entrance, posterior left thigh.
b. Exit, medial left thigh.
c. Soft tissue injury only.
5. Early postmortem decomposition.
This 17-year-old female sustained multiple gunshot wounds at her high school. She was pronounced dead at the scene. Her death is attributed to severe craniocerebral trauma and multiple visceral lacerations due to a perforating gunshot wounds to the head and trunk. Also seen at autopsy were perforating gunshot wounds to the left upper extremity and left lower extremity. Toxicologic analyses of body fluids obtained at the time of autopsy were negative. view of the scene and circumstances surrounding the death and autopsy findings, the manner of death is classified as homicide.
Cassie Bernall, born November 6, 1981:
1. Shotgun wound of head:
a. Skull fractures, massive
b. Cerebral lacerations and contusions
c. Subdural and subarachnoid hemorrhage
2. Shotgun wound of right hand
Death was due to a shotgun wound of the head.
Steven Curnow, born August 28, 1984:
1. Gunshot wound of neck:
a. Entrance - tangentially shreds skin and soft tissue of lateral right shouider and enters upper right neck
b. Path - passes through soft tissue of right neck, perforates cervical vertebral column at C1-3 leve.. transecting upper cervical spinal cord, and passes through soft tissue of left neck
d. Direction - right to left, slightly downward, without anterior or posterior deviation
e. Spent bullet fragment retrieved from scft tissue of left neck
f. Basilar skull fracture and fracture of both orbital roofs
g. Subarachnoid hemorrhage and contusion of base of brain
CLINICOPATHOLOGIC CORRELATION: Cause of death of this 14-year-old male is a solitary gunshot wound of the neck.
Corey DePooter, born March 3, 1982:
A. Multiple gunshot wounds, neck and chest
1. Penetrating gunshot wounds, neck and chest
3. Fractures, left 5th rib
4. Mildly deformed copper jacketed bullet recovered lateral left chest wall
B. Penetrating gunshot wound, right back and chest
1. Atypical indeterminant wound of entrance, right posterior back
3. Mildly deformed copper jacketed bullet recovered, left lower chest wall
C. Perforating gunshot wound, left arm
1. Indeterminant wound of entrance, lateral left arm
2. Wound of exit, medial left arm
D. Perforating gunshot wound, left chest and neck
1. Atypical wound of entrance, anterolateral left chest
2. Laceration left subvlavin vein
4. Exit, posterior right neck
A. Cutaneous abrasions, forehead and right knee
This teenaged male, Corey Depooter, died of multiple gunshot wounds. Gunshot wound #3 and gunshot wound #4 may be one wound as the wound of entrance #4 is atypical and would be very consistent with a wound reentrance is in proximity but in continuity with the gunshot wound of exit #3.
Kelly Fleming, born January 6, 1983:
1. Penetrating shotgun wound to the trunk with:
a. Entrance, left lower back.
b. Recovery of projectiles, within projectile path, mainly within the left upper chest and left neck.
c. Perforating lacerations of the left kidney, left adrenal, stomach, esophagus, spleen, liver, bilateral lungs, heart and thoracic aorta.
d. Associated bilateral hemothoraces, hemopericardium, hemomediastinum and hemoperitoneum.
e. Fracture of the left hip (ilium) including associated hemoretroperitoneum.
2. Recent cutaneous abraded contusion of the right knee.
3. Early postmortem decomposition.
This 16-year-old female sustained a shotgun wound at her high school. She was pronounced dead at the scene. Her death is attributed to multiple visceral and vascular lacerations due to a penetrating shotgun wound to the trunk. Toxicologic analyses of body fluids obtained at the time of autopsy were negative. In view of the scene and circumstances surrounding the death and autopsy findings, the manner of death is classified as homicide.
Matthew Kechter, born February 19, 1983:
1. Shotgun wound of the chest
A. Fractures of cervical spine and ribs (right)
B. Perforation, left carotid artery, jugular vein, and right upper lung
C. Hemothorax, (bilateral)
2. Thermal burn, right abdomen
3. Chronic lymphocytic thyroiditis
Death was due to a shotgun wound of the chest.
Daniel Conner Mauser, born June 25, 1983:
FINAL ANATOMIC DIAGNOSES:
1. Through and through, large calibre gunshot wound involving the nose associated with:
A. Fractures of the nasal bones
B. Circular laceration of the posterior wall of the oropharynx
C. Neck fractures involving C2 and C5
E. Concussion subarachnoid hemorrhages involving the right cerebral hemisphere
F. Concussion contusions involving the medulla oblongata
2. Through and through gunshot wound involving the right ear and associated graze wound to the soft tissues of the scalp
3. Through and through gunshot wound involving the middle finger of the right hand associated with a graze wound of the index finger of the right hand:
A. Fractures of the middle phalanx of the middle finger of the right hand
The autopsy findings in this case reveal that the cause of death is due to a fractured neck at the level of C2 associated with spinal cord injury secondary to through and through, large calibre gunshot wound involving the nose.
Daniel Lee Rohrbough, born March 2, 1984:
FINAL ANATOMIC DIAGNOSES:
1. Through and through large calibre gunshot wound involving the left chest associated with:
F. Bilateral hemothoraces
2. Large calibre gunshot wound involving the left mid-abdomen associated with:
C. Laceration right hemidiaphragm
D. Intraperitoneal hemorrhage
3. Through and through large calibre gunshot wound involving the left lower extremity just below the knee
The autopsy findings in this case reveal that the cause of death is due to exsanguination secondary to extensive injuries involving the chest organs related to a through and through large calibre gunshot wound involving the left chest.
Isaiah Shoels, born August 4, 1980:
1. Shotgun wound of left arm and chest
A. Entrance - posterior left arm with perforation of soft tissue of arm
B. Re-entry - left axilla
C. Path - perforates left pectoral musculature, penetrates left hemithorax through first rib, perforates sternum, disrupting anterior mediastinum with laceration of pulmonary artery and right atrium, perforates anterior right hemichorax, fractures right first and second ribs, perforates right pectoralis musculature, and exits right chest, impacting inner right arm
D. Direction - left to right, slightly downward, and slightly posterior to anterior
E. Spent shotgun slug and wadding retrieved from clothing
F. Right and left hemothoraces
II. Status post Fontan procedure for tricuspid atresia and hypoplastic right ventricle (remote)
A. Intact Fontan anastomosis
D. Micronodular cirrhosis, liver
CLINICOPATHOLOGIC CORRELATION: Cause of death of this 19-year-old male is a solitary shotgun wound of the chest.
John Tomlin, born September 1, 1982:
1. Multiple gunshot wounds
A. Fractures of skull and cervical spine
B. Lacerations and contusions of the brain and cervical cord
C. Subdural and subarachnoid hemorrhage
D. Pulmonary congestion and edema, mild
OPINION: Death was due to multiple gunshot wounds.
Lauren Townsend, born January 17, 1981:
1. Penetrating shotgun (pellet) wound to the trunk with:
a. Entrance, lower chest.
b. Recovery of pellets (2 in number), spine at the level of the third thoracic vertebral body and subcutaneous tissue of the left back.
c. Fractures of the lower sternum and spine (as above) without injury to the spinal cord.
d. Perforating lacerations of the pericardium, heart and upper lobe of the left lung.
e. Associated hemopericardium, hemomediastinum and bilateral hemothoraces.
2. Penetrating gunshot wounds (2 in number, overlapping paths) to the trunk with:
b. Recovery of bullets, right pelvic region.
c. Perforating lacerations of the upper and middle lobes of the left lung, left hemidiaphragm, liver, small and large intestines.
d. Fracture of the right ilium of the pelvis.
e. Associated left hemothoraz and hemoperitoneum.
3. Penetrating shotgun (pellet) wound to the head with:
a. Entrance, right ear and underlying occipital scalp.
b. Recovery of pellet, right mastoid process.
c. Fracture of the mastoid process and minimal associated hemorrhage.
4. Perforating gunshot wound to the right lower extremity with:
a. Entrance, posterolateral right thigh.
b. Exit, anterior right arm.
c. Soft tissue injury only.
5. Perforating gunshot wound to the right upper extremity with:
a. Entrance, anterolateral right arm.
b. Exit, anterior right arm.
c. Soft tissue injury only.
6. Perforating gunshot wound to the trunk with:
a. Entrance, upper left hip.
b. Exit, left medial buttock.
c. Soft tissue injury only.
7. Perforating gunshot wound to the trunk with:
a. Entrance, lower left hip.
b. Exit, left lateral buttock.
c. Soft tissue injury only.
Kyle Velasquez born May 5, 1982:
I. Perforating shotgun wound, left frontoparietal scalp and left shoulder
A. Seven perforating wounds, left frontal and parietal scalp
1. Cutaneous lacerations, left frontal and parietal scalp
2. Fragment of shot cuff and eight fragments of grey metal shot present within the cranial vault and associated scalp
3. Fragment of the shot found in the upper back with associated intramuscular hemorrhage
II. Shotgun pellet wounds, three, back
A. Three wounds of entrance, back
B. Three fragments of orange metal gilded lead shot foun within the back
III. Exogenous obesity, 230 pounds
This teenage boy, Kyle Velasquez, died of perforating shotgun wounds to the head and upper back.
William Dave Sanders born October 22, 1951:
1. Pertorating gunshot wound to the neck and head with:
a. Entrance, left lower neck.
b. Exit, right upper lip.
c. Partial transection of the left internal carotid artery.
d. Laceration of the tongue and avulsion of multiple teeth.
e. Associated hemorrhages.
2. Perforating gunshot wound to the trunk with:
a. Entrance, right upper back.
b. Exit, right upper chest.
c. Fracture of the right clavicle.
d. Partial transection of the right subclavian vein.
e. Associated hemorrhage.
This 48-year old man sustained gunshot wounds at the high school in which he was a teacher. He died a short time later at the scene. His death is attributed to multiple vascular lacerations due to perforating gunshot wounds to the neck/head and trunk. Toxicology analysis of body fluids obtained at the time of autopsy were negative. In view of the scene and circumstances surrounding the death and autopsy findings, the manner of death is classified as homicide.
The cause of death of this 43-year-old Caucasian female, Anne Marie Hochhalter, is due to sepsis due to Streptococcus pyogenes.
Anne Marie Hochhalter, born December 19, 1981:
Complications of paraplegia due to two (2) remote gunshot wounds are a significant contributing factor. The manner of death is best classified as homicide.