I am paramedic student in MO. I have been tasked with the assignment to decide ethically what I would do in the situation that a hypoglycemic person was believed to be intoxicated and the beat with an asp presumably for self defense both before and after being restrained. At the time in this situation the officers are not aware of any medical issue and are overly confident pt is just drunk.
Pt was hit in head several times causing 3 open hematomas as well as in the upper arm and posterior thigh. pt was aggressive and belligerent but is now unresponsive to pain with gurgling respiration after "being subdued".
My question is not of treatment or what decision to make as that is for me to decide but do any of you have any protocols for reporting such an event or any first hand experience of something similar?
You don't have to convict the officers yourself, or do any kind of investigation. Just make sure that your concerns are passed up the ladder in an appropriate manner. That's ethical, fair and legal. From the viewpoint of a non-LEO, beating someone AFTER they've been restrained, and with multiple hits on the head is NOT appropriate. I think that sitting back and not saying anything is dirty and corrupt.
Well...... as an LEO and EMS use of force instructor....... I think this is a RIDICULOUS scenario to offer a student. Especially when violence against EMS is such an issue. Why is the instructor not taking class time to discuss provider/patient safety as far as violence?
Two things: we don't know that the instructor isn't taking class time to discuss the other issues you mention. Perhaps they are. OP didn't even mention those, and I really don't think they are germane in this discussion.
Second, IMHO, I don't think it's a RIDICULOUS scenario at all, despite what you assert. The instructor is obviously trying to get the students to contemplate how they would react in a situation that appears fairly obvious (someone got the crap beat out of them in an inappropriate way for being hypoglycemic), but where they may have to be concerned about real world backlash from police. Trust me, when you call for help, you want them to come. I get that. But people have rights. Based on the information we were given, this guy's constitutional rights were violated. For me, that's a really, really big issue.
1) If there is any question/complaint to the level of fore used......this isn't the "good ole days"..... and investigation will take place. If you were on scene...... you would be interviewed.
This is absolutely the good old days, in some places, still. Anyone who thinks that this would not be investigated appropriately in some places needs a dose of reality. I'm not saying everywhere, or even most places, but cover ups of LEO screwups absolutely still happen.
2) And probably most important........ a landmark USE OF FORCE case is Graham V. Connor that actually involves a Diabetic.
http://www.officer.com/article/10249014/graham-v-connor
3) Were the officers "reasonable" in their application of force? If they started with striking to the legs, then moved to the head after non-compliance; officers actions could be deemed "reasonable". Officers are allowed the One Plus One theory for custody/control during a lawful arrest.
Just about everyone on here agrees that smashing on someone's head with an asp is using potentially lethal force. So by your reasoning, if someone doesn't comply with orders after being beaten on the legs, it's OK to escalate to deadly physical force? You don't even mention if the person is a risk to the safety of the officers or others around them. Graham v. Connor by the way, does address that issue. It says that the nature and quality of the intrusion on a person's 4th amendment rights (very, VERY important rights IMO) must be balanced against the governmental interests at stake. Basically, what's going to happen with this restrained, unarmed person if I DON'T beat the crap out of him? Is he going to hurt or kill someone? Given this scenario, and the case law applied, I think the loud and resounding answer is that someone needs to step up and speak for this patient.
And since when is being arrested for a medical condition that induces an altered mental status lawful? Again, you and I are likely to disagree on this point.
4) It is not an officers job to be 100% correct in their use of force based on the "totality of the circumstances" just that they be "reasonable".
Actually, the case law says an objective standard must be used, and that officer's subjective thoughts are irrelevant. To me, that's not the same as being "reasonable". Who decides "reasonable"? The officer who's smashing in the skull of the restrained, hypoglycemic diabetic?
You and I likely have VERY different definitions of reasonable.
Needs to be a more clear cut case of abuse/excessive force.......not the fact it was a diabetic.
How much more clear cut do you need? The patient was restrained, and got beaten AFTER being restrained. That says punitive to me. In addition, he was beaten on the head. When done by an asp, that's a potentially lethal use of force.
Did you read Graham V. Connor?
I certainly did.
Or are you just wanting to debate me personally?
I was only saying initially that putting a question like that to a group of students seemed reasonable to me. Having them think about a situation like that before they're in the thick of it is wise teaching. But, since you wanted to bring more into it, I have replied.