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HomeMy WebLinkAboutOCCO Report Photos Tox_RedactedORANGE COUNTY SHERIFF-CORONER 1071 W. Santa Ana Blvd. Santa Ana, CA 92703 Coroner Division DECEDENT: MERCADO SEGURA, Miguel A. AGE: 31 Years DOB: 11/9/1988 PLACE OF DEATH: UC Irvine Medical Center DATEffIME OF DEATH: 01/21/2020 00:31 AUTOPSY DATEffIME: 01/23/2020 9:14 SEX: Male PLACE OF AUTOPSY: Orange County Coroner Division Facility 1071 W. Santa Ana Blvd. Santa Ana, CA 92703 AUTOPSY ATTENDANTS: Noelle Ledda, OCSD Corrie Maggay, OCSD Melissa Moore, OCSD Jesse K. Gonzales, OCSD Craig Brower, OCDA Benedict Roddy, FVPD Kim Holmes, FVPD CAUSE OF DEATH: Multiple gunshot wounds of torso OTHER CONDITIONS: None MANNER: Homicide CERTIFICATE ISSUED: 1/23/2020 AMENDMENT: 2/25/2020 CASE NUMBER: 20-00372-MM RACE: Hispanic Yong-so~ Kim, M.D. For~hsfu Pathologist v ORANGE COUNTY SHERIFF-CORONER 1071 W. Santa Ana Blvd. Santa Ana, CA 92703 Coroner Division DECEDENT: MERCADO SEGURA, Miguel A AGE: 31 Years DOB: 11/9/1988 SEX: Male PLACE OF DEATH: UC Irvine Medical Center DATEfTIME OF DEATH: 01/21/2020 00:31 AUTOPSY DATEfTIME: 01/23/2020 9:14 PLACE OF AUTOPSY: Orange County Coroner Division Facility 1071 W. Santa Ana Blvd. Santa Ana, CA 92703 AUTOPSY ATTENDANTS: Noelle Ledda, OCSD Corrie Maggay, OCSD Melissa Moore, OCSD Jesse K. Gonzales, OCSD Craig Brower, OCDA Benedict Roddy, FVPD Kim Holmes, FVPD CAUSE OF DEATH: Multiple gunshot wounds of torso CASE NUMBER: 20-00372-MM RACE: Hispanic OTHER CONDITIONS: Bilateral thoracotomies with tubes, 01/21/2020 MANNER: Homicide CERTIFICATE ISSUED: 1/23/2020 AMENDMENT: , Yong-son Kim, M.D. l Forensic Pathologist ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page2 This is Yong-son Kim, M.D., dictating on January 23, 2020, case #20-00372-MM; decedent, MERCADO SEGURA, Miguel. Note: The description of the gunshot wound related injuries and the gunshot wounds themselves are not necessarily described in the systemic anatomic review which is a description of the decedent's body prior to sustaining injuries. All descriptions of the gunshot wounds and associated injuries are made using the standard anatomic position at all times. EXTERNAL EXAMINATION The body is identified by toe tags and is that of an unembalmed, refrigerated adult Hispanic male, who appears about the reported age of 31 years. The body weighs 154 pounds, measures 68 inches in height, and appears well built and well nourished. External examination reveals the body is without rigor. Livor mortis is fixed and present over the back. Tattoos are not seen . EVIDENCE OF OLD INJURIES: There appears to be older abrasive marks in the form of linear marks, of the dorsal surface of the right wrist, as well as of the right hand. There is no clear evidence seen of any other scars on the body. The head is normocephalic and covered by brown short/shaven straight hair without balding. Examination of the eyes reveals irides that appear to be brown in color and sclerae that are clear. There are no petechial hemorrhages of the conjunctivae of the lids or the sclerae. The earlobes are grossly unremarkable. The oronasal passages are unobstructed. The teeth are the decedenfs own and in good condition with present retainers. The face in general is unremarkable with a mustache. The neck appears supple and unremarkable. There is no chest deformity or any increased anteroposterior diameter of the chest. The abdomen is flat and does not appear unusual. The external genitalia are those of an adult male. The penis is uncircumcised. There is no evidence of any trauma to the external genitalia . The scrotum shows nodular, wart-like protrudent nodular 2020-02 -04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page3 lesions that are well circumscribed. The extremities show no evidence of any edema, needle tracks, deformity, or abnormal mobility . EVIDENCE OF THERAPEUTIC INTERVENTION: There are bilateral thoracotomy sites noted of each chest cavity with associated sutured thoracotomy tubes. In addition, there is an intravenous line of the left inguinal fossa and an intravenous line of the right antecubital fossa. There are intraosseous needles of both shins. There are also electrocardiographic monitoring pads of the anterior torso and there is an endotracheal tube and an endogastric tube in the proper location. An oxygen sensor has also been applied towards the left index finger. EVIDENCE OF FRESH TRAUMA: There are abrasion marks around the left anterior shoulder. In addition, there is a contusion combination with a weak abrasion of the dorsum of the nose. Abrasions are also noted around the posterior left upper arm and the posterior right upper arm, which are broader in appearance compared to the left side. There is a weak abrasion of the upper shin. In addition, there is a superficial cut which measures 3/16 of an inch in greatest length, with a surrounding contusion of the palm of the right hand in the area of the thenar muscles. DESCRIPTION OF GUNSHOT WOUNDS GUNSHOT WOUND #1, RIGHT UPPER BACK ENTRY: The entry site is located at the right upper back, 5 inches right of the midline and 16-1/2 inches below the top of the head. The wound itself measures 3/16 of an inch in greatest dimension, is of round shape. There is a broad muzzle imprint of 1 /4-inch in width, which is completely surrounding the entry site. There is also soot deposited on the muzzle imprint area as well as within the soft tissues. In addition, there are linear abrasive marks, almost in the shape of a square surrounding the muzzle imprint. No stippling is noted. EXIT: The exit site is located at the area of the right inner chest, 3 inches right of the midline, as well as approximately 17 inches below the top of the head. It is of round to irregular shape and measures 3/8 of an inch in greatest dimension. PROJECTILE: There is no projectile recovered. 2020-02·04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page4 COURSE: The gunshot wound track enters the skin at the level of the right upper back. It then courses into the underlying soft tissues and enters the right posterior 9th intercostal space. The track then courses into the right middle lobe of the lung and then into the right upper lobe of the lung. It then continues to perforate the right inner anterior 5th intercostal space and exits the skin at the level of the right inner chest. DIRECTION: The direction is back to front, slightly right to left, and overall straight. ASSOCIATED INJURIES: There is a right hemothorax, which has been mostly removed by the above-described thoracotomy tubing. The entire right lung is severely atelectatic. There are perforations of the right upper lobe as well as the right middle lobe of the lungs. In addition, there is a perforation of the right posterior 9th intercostal space as well as a perforation of the right parasternal ribs at the level of the right inner anterior 5th intercostal space. GUNSHOT WOUND #2, RIGHT LOWER BACK ENTRY: The entry site is located at the right lower back, is of round shape, and measures 3/16 of an inch in greatest dimension. There is a circumferential abrasion ring with a width of 1/16 of an inch. No soot, stippling, or muzzle imprint are noted. The entry site is located 26-1/2 inches below the top of the head, as well as 1 inch right of the midline. EXIT: There is no exit wound. PROJECTILE: A projectile is recovered from the right inner chest, just to the lateral aspect of the exit site of gunshot wound #1. The projectile consists of a large caliber, deformed copper-jacketed projectile. This projectile is about to nearly exit the skin. The projectile is recovered from approximately 4 inches right of the midline as well as 17 inches below the top of the head. COURSE: The gunshot wound track enters the skin at the level of the right lower back, where it enters the underlying soft tissues. The gunshot wound track then hits the mesentery and perforates the overlying liver. The gunshot wound track then continues to perforate the right hemidiaphragm and continues to tear the soft tissues of the right anterior 7th intercostal space. It then continues underneath the 2020,02-04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page5 tissues and fractures the 5th rib with a continuation through the 6th rib and the right anterior 6th intercostal space. The gunshot wound track then finally ends in the overlying soft tissues. DIRECTION: The overall direction is left to right, upwards, and back to front. ASSOCIATED INJURIES: There is a large perforation of the middle parenchyma of the liver. In addition, there is a large perforation of the mesenteric area with surrounding retroperitoneal hemorrhages. There are two perforating injuries of the right anterior ribs at the level of the right anterior 5th rib, and the right anterior 7th intercostal space. There is an associated fracture of the right anterior 5th rib as well. It appears that the defect of the right 7th intercostal space represents a tear of the soft tissues due to the gunshot wound track. GUNSHOT WOUND #3, LEFT UPPER BUTTOCK ENTRY: The entry site is located at the left upper buttock towards the inner left lower back. It is located 1-1/2 inches left of the midline and 32-1/2 inches below the top of the head. The gunshot wound is of round shape and measures 3/16 of an inch in greatest dimension. There is a very faint ring of stippling surrounding the entry site. No muzzle imprint or soot are noted. GUNSHOT WOUND '1#4, RIGHT LOWER BUTTOCK ENTRY: The entry site is located at the right inner upper buttock, approximately 32 inches below the top of the head and 2 inches right of midline. It is of round shape and measures 3/16 of an inch in diameter. No soot, stippling or muzzle imprint are noted. GUNSHOT WOUNDS #5 and #6 ENTRY: The entry sites are located at the right middle buttock. Both are located approximately 33 inches below the top of the head. They are also located 2 inches right of the midline (gunshot wound #5), 2-1/2 inches right of the midline (gunshot 2020-02 -04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page6 wound #6. Both of them are round in shape and show a diameter of 3/16 of an inch. No soot, stippling or muzzle imprint are noted. EXIT: There is a large gaping exit which is surrounded by green abdominal discoloration due to decomposition, which is located 32-1 /2 inches below the top of the head and 2 inches right of the midline. It measures 1 inch in greatest dimension. This exit site most likely represents the exit site for gunshot wounds #3-6. PROJECTILE: A lead deformed large caliber copper projectile is recovered within the soft tissue right underneath the exit site for gunshot wound #3-6. It is unclear at this point exactly which gunshot wound is causing the lodged projectile within the soft tissues. COURSE: The gunshot wound track enter the skin around the left inner buttock and the right inner buttock. They then course into the underlying soft tissues and enter the pelvic cavity where they perforate multiple areas of the small and large intestines. The gunshot wound tracks then most likely merge in the underlying soft tissues and finally exit the skin at the level of the right lower abdomen towards the pelvic area. DIRECTION: The projected overall direction of all gunshot wounds is approximately back to front, and overall nearly straight. Of note, the track of gunshot wound #3 is slightly deviated towards the right side, and the direction of gunshot wound tracks of #4, #5, and #6 are slightly from right to left. ASSOCIATED INJURIES: There are multiple perforations noted of the small intestines as well as of the large intestines within the area of the pelvic cavity. There are also associated perforations of the soft tissues of the pelvic cavity at the posterior aspect. Of note, there is a mild amount of bloody hemorrhages within the pelvic or abdominal cavity. GUNSHOT WOUND #7, RIGHT BUTTOCK ENTRY: The entry site is located at the right outer buttock, approximately 3-1/2 inches right of the midline and 33 inches below the top of the head. The entry site 2020-02-04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page7 is of round shape and measures 3/16 of an inch in greatest dimension . No soot, stippling or muzzle imprint are noted. EXIT: There is no exit wound. PROJECTILE: A deformed copper-jacketed lead projectile of large caliber is discovered within the head of the right femur, just at the junction towards the femoral neck. COURSE: The gunshot wound track enters the skin at the area of the right outer buttock, and then enters the underlying soft tissues. It then perforates the head of the right femur where it finally ends. DIRECTION: The overall direction is back to front, and overall straight. ASSOCIATED INJURIES: There are the usual associated soft tissue hemorrhages associated with the track. GUNSHOT WOUND #8, RIGHT LATERAL RIBCAGE ENTRY: The entry site is located at the right lateral ribcage, 7 inches right of mid line and 10 inches below the top of the head. It measures 3/4 x 1 inch in greatest dimension. It appears slightly deformed to slightly triangular in shape. No soot, stippling or muzzle imprint are noted. EXIT: The exit site is located at the right lateral ribcage inferior to the entry site. It is located 7 inches right of the midline, as well as 10 ½ inches below the top of the head. It measures 1 ½ x 1/2 inches. PROJECTILE: No projectile is recovered. COURSE: The gunshot wound track enters the skin at the level of the right lateral ribcage and exits the area also in close vicinity. DIRECTION: The direction is overall straight. Of note, it is possible that entry and exit sites are reversed. There is no clear distinction made possible, given the findings of the skin. 2020-02-04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page8 ASSOCIATED INJURIES: There are the usually expected soft tissue hemorrhage of mild amount surrounding the area and continuing. ADDITIONAL GRAZE WOUND: There is a graze in the from a striped shape abrasion of the area lateral to the near exit site of gunshot wound #2, which is located just below the right nipple and partially crossing it. No other findings like muzzle imprint, soot or stippling are noted. INTERNAL EXAMINATION NECK: The neck organs are removed en bloc with the tongue. No lesions or contusions of the lips, gingiva, or oral mucosa are seen . There is no laryngeal edema. Both hyoid bone and larynx are intact, without evidence of fractures. The tongue, upon sectioning, shows no trauma. There is no evidence of hemorrhage seen of the adjacent throat organs, investing fascia, strap muscles, visceral fascia, or thyroid. CHEST/ABDOMINAL CAVITY: Both pleural cavities contain minimal clear serous fluids on the left side and mild amount of bloody fluids in the right chest cavity. There is otherwise no evidence seen of any other pleural adhesions. The lungs are atelectatic on the right side and still relatively well expanded on the left side with mild atelectasis as well. The anterior mediastinum as well as the diaphragm are symmetrical and free of any trauma or lesions. The neck is straight. The soft tissues of the thoracic and abdominal walls are well preserved. The subcutaneous fat of the abdominal wall measures 2.0 cm. The organs of the abdominal cavity have a normal arrangement and none are absent. There is no evidence of any peritonitis or any abdominal adhesions. There is a mild amount of abdominal free fluid collection. CARDIOVASCULAR SYSTEM: The aorta is elastic and of even caliber throughout with vessels distributed normally from it. There is no tortuosity or widening of the thoracic segment. The abdominal aorta as well as the thoracic segment show very focal areas of mild lipid streaking throughout. There is otherwise no evidence of any greater plaque formation, calcification, dilatation or aneurysms of the abdominal segment. The major branches of the aorta show no gross abnormality. 2020-02-04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page9 Within the pericardia! sac there is a mild amount of serous fluid of approximately 20 cc. The heart weighs 300 grams and shows a normal configuration. The right ventricle measures 0.4 cm in thickness, the left ventricle measures 1.0 cm in thickness, and the interventricular septum measures 1.0 cm in thickness. The chambers are otherwise normally developed and are without mural thrombosis. The great vessels enter and leave in a normal fashion. The blood within the heart and large vessels is still of minimal amount and mostly liquid. The heart valves are thin, leafy, and competent. The circumferences of the valve rings are: aortic -6.1 cm, mitral -10.5 cm, pulmonic -6.5 cm, and tricuspid -11.5 cm . There is no evidence of any endocardial discoloration, myocardial lesions, or any abnormalities of the apices of the papillary musculature. The coronary ostia are widely patent. There is a normal pattern of coronary artery distribution, right dominant pattern. There is hardly any evidence of any coronary artery disease with an overall wide and patent lumen throughout the major coronary arteries. RESPIRATORY SYSTEM: There are scant secretions seen in the lower bronchial and upper respiratory passages. The mucosa of the trachea is otherwise intact and pale. The left lung weighs 260 grams. The right lung weighs 260 grams. The lungs are otherwise subatelectatic on the left side and severely atelectatic on the right side. They overall appear both dense in consistency. The cut surfaces show mild to moderate edema throughout with acute generalized congestion . There is no evidence of any other parenchymal lesions with mild intraparenchymal hemorrhages which is consistent with the above-mentioned injuries of the right lungs. The pulmonary vasculature is without thromboembolism. GASTROINTESTINAL SYSTEM: The esophagus is intact throughout. The stomach is not distended. It contains 70 cc of pink to brown fluids. No portions of tablets or capsules can be discerned in the stomach. The mucosa otherwise shows the usual rugal folds without any additional mucosa! lesions. The small intestines, large intestines, and pancreas are otherwise grossly unremarkable . Of note, the pancreas appears slightly paler than usual. HEPATOBILIARY SYSTEM: The liver weighs 1210 grams and the capsule is intact. The parenchyma is dark red and brown in color and cuts with firm 2020-02•04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page 10 resistance. The cut surfaces are smooth with a normal lobular arrangement. The gallbladder is present. It contains 1 O cc of bile without calculi. The gallbladder wall is thin and pliable. The periportal lymph nodes are not enlarged. HEMATOPOIETIC SYSTEM: The spleen weighs 120 grams. The capsule is intact. The parenchyma is dark red and soft. There is no increased follicular pattern. Lymph nodes throughout the body are small and inconspicuous. The bone and bone marrow of the ribs appear grossly unremarkable. URINARY SYSTEM: The left kidney weighs 130 grams and the right kidney weighs 140 grams. The kidneys are normally situated and the capsules strip easily, revealing surfaces that are overall smooth and slightly paler than usual. The perirenal fat is not increased in mass. The corticomedullary demarcations are still well preserved. The pyramids are unremarkable. The ureters are without obstruction and pursue their normal course. The urinary bladder is unremarkable . It contains 200 cc of urine, it is thereby mildly distended. GENITAL SYSTEM: The prostate gland as well as the testicles are found within their proper locations and are without any evidence of trauma or lesions. ENDOCRINE SYSTEM: The thyroid gland, the parathyroid glands and the adrenal glands are all grossly unremarkable. MUSCULOSKELETAL SYSTEM: There is no evidence of fractures, joint deformities, or abnormal mobility in the spine, ribs, or pelvic bones. The muscular development is consistent with the age. HEAD AND CENTRAL NERVOUS SYSTEM: There is no evidence of subcutaneous or subgaleal hemorrhage in the scalp. The external periosteum and dura mater are stripped, showing no fractures of the calvarium or base of the skull. There are no tears of the dura mater. There are no epidural, subdural, or subarachnoid hemorrhages. The brain weighs 1500 grams. The leptomeninges are thin and transparent. There is a normal convolutionary pattern. The cerebral hemispheres are symmetrical. There is no evidence of cerebral atrophy or cerebral swelling. Of note, the brain is severely pale. Coronal sectioning demonstrates a uniformity of cortical gray 2020-02-04 KC ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page 11 thickness. There is no evidence of any cerebral contusions. The ventricular system is unremarkable, without dilatation or distortion. The white matter is free of any softening, discoloration, or hemorrhage. The basal ganglia are intact. Anatomic landmarks are well preserved. Pons, medulla, and cerebellum are unremarkable. There is no evidence of uncal or cerebellar herniation. Vessels at the base of the brain have a normal pattern of distribution. There is no evidence of cerebral arteriosclerosis or any cerebral aneurysms. The cranial nerves are intact, symmetrical, and are normal in size, location, and course. The spinal cord is removed and does not reveal any evidence of any trauma or hemorrhages. 2020-02-04 KC ORANGE COUNTY SHERIFF~CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page 12 ANATOMIC SUMMARY I. Gunshot wound #1, back, perforating A. Entry: right upper back, soot and muzzle imprint present, impression mark in a square shape present (abrasion), no stippling B. Exit: right inner chest C. Projectile: none D. Direction: back to front, slightly right to left, straight E. Associated injuries: perforations of right upper lobe and right middle lobe of lungs, right hemothorax, perforation of right posterior 9th intercostal space, perforation of 5th right anterior intercostal space F. Course: skin, soft tissues, right posterior 9th intercostal space, right middle lobe of lung, right upper lobe of lung, right anterior 5th intercostal space, skin II. Gunshot wound #2, right lower back, penetrating A. Entry: right lower back, no soot, stippling or muzzle imprint B. Exit: none C. Projectile: large caliber, lead deformed copper jacket recovered from within soft tissues of right chest, right underneath skin D. Direction: back to front, upwards, and slightly left to right E. Associated injuries: perforations of liver, right hemidiaphragm, mesentery, right anterior 6th intercostal space, mild retroperitoneal hemorrhages, mild hemoperitoneum F. Course: skin, soft tissues, mesentery, liver, right hemidiaphragm, tissues of the right anterior 7th intercostal space, right anterior 6th rib/underlying 6th anterior intercostal space, tissues right underneath the skin Ill. Gunshot wound #3 (left upper inner buttock), #4-6 {right buttock) 2020·02·04 KC A. Entry: left inner upper buttock (#3) and right upper buttock (#4-6) , no soot or muzzle imprint seen, faint stippling present B. Exit: one large gaping perforation of pelvic area/lower abdominal area with one projectile recovered within soft tissues C. Projectile: One large deformed copper jacketed copper projectile recovered from soft tissues underneath exit site,. unclear regarding origins with respect to gunshot wounds #3-6. ORANGE COUNTY SHERIFF-CORONER AUTOPSY REPORT MERCADO SEGURA, Miguel A. 20-00372-MM Page 13 D. Direction: back to front, slightly left to right (gunshot wound #3), slightly right to left (gunshot wounds #4-6), and straight E. Associated injuries: soft tissue hemorrhages, mild intrapelvic hemorrhages, tears of intestines, mild retroperitoneal hemorrhages F. Course: overall course is skin, soft tissues, pelvic cavity, skin IV. Gunshot wound #7, right outer buttock A. Entry: right outer buttock, no soot, stippling or muzzle imprint B. Exit: none C. Projectile: lead deformed large caliber copper jacketed projectile recovered from head of right femur D. Direction: back to front, straight E. Associated injuries: soft tissue hemorrhages, fracture of right femoral head F. Course: skin, soft tissues, bone V. Gunshot wound #8, perforating A. Entry and exit in close vicinity, no soot, stippling or muzzle imprint seen (right anterolateral ribcage} B. Associated injuries: soft tissue hemorrhages C. Course: skin, soft tissue, skin VI. Additional graze wound of right chest, involving right nipple VII. Pale organs: brain, pancreas, kidneys VIII. Toxicology and vitreous fluid collected at autopsy IX. Tissue preserved in formalin jar X. X-rays reviewed prior to autopsy XI. Photographs taken at autopsy 2020-02-04 KC MERCADO SEGURA, Miguel A. COUNlY OF ORANGE AUTOPSY RECORD 20-00372-MM SHERIFF-CQRONE_R \ IDlll lllll llll llll\111111 lllll lll\l lll\1111\ llll 20-00372-MM MERCADO SEGURA, Miguel 31 Ya:; (i~W)FI 1\/Ti ; I .. ,l I $°c:~ a'7.I 'J~~ lJlf I ~I rt-i ' z ~- ~ Y11 161', \ ljfb~ 'i ~<''1 111111~111111111111 ~1111~111~1111 CRIME LAB •"•••• t••"'" c•i.ue•N•a OCCRIME LAB Orange County Sheriff-Coroner Department TOXICOLOGICAL EXAMINATION REPORT R80l868 2D-41179 PMTo, Orlgin•I FR NUMBER: 20-41179 CORONER CASE NUMBER: 20-00372MM NAME OF DECEASED: MERCADO SEGURA, Miguel A. AGE: 31 Year(s) SEX: Male INVESTIGATOR: HARTNEY/ KIM Page 1 of 1 A sample was removed for examination from each matrix listed Reported results relote only to the items examined. All concentration uncertamt,es are based on a >95% confidence level. Results and Interpretations Findings Dru Remarks Postmortem Blood An exam indicated that the sample may contain caffeine, but additional examination was not performed to confirm its presence , Examinations Exam Matrh1 Method Result QTOF Drug Identification {Pos,t,ve Mode): List of drugs examined provided to the OCSD Coroner Division on 08/15/19 Scientist KEO/JBS EJP EJP EJP HHH c--- _'}(; L >a ~T ---- Forensit Scientist: PARETI March 11, 2020 An MIAS lnternotionol accredited test,ng loborotory ORANGE COUNTY SHERIFF-CORONER 1071 W. SANTA ANA BLVD. SANTA ANA, CA 92703 CORONER'S INVESTIGATION REPORT MERCADO SEGURA, Miguel A. 20-00372-MM PAGE: 1 On 01/21/2020 at 0104 hours Deputy Coroner P. Hoag received a call from UCI Medical Center ER RN, Izzy Hiebert, who was reporting a multiple gunshot wound death. The decedent was brought in from Fountain Valley with 12 gunshot wounds. He was in full arrest and they took over CPR from paramedics. He was intubated, given blood, bilateral chest tubes, and ACLS drugs but there was no change and he was pronounced dead in the ER. FVPD is in the ER. On 1/21/20 at 0111 hours Deputy Hoag spoke with FVPD Officer, Shook, and he told him SAPD was conducting an arrest in Fountain Valley and officers shot the decedent. He didn't know much more information and detectives were enroute to the hospital. Hoag gave him the case number and a call back number. On 1/21/20 at 0116 hours Deputy Hoag called SAPD and spoke with W/C Alvarez who told him SAPD officers were involved in the shooting but it happened in Fountain Valley so FVPD was handling the call. He had already spoke with OCDA. Brad Tanner, and he was aware of the death and the OIS. On 1/21/20 at 0123 hours Deputy Hoag received a call from OCDA, Brian Tanner, and he told him he and his investigators were just arriving at FVPD for a brieling. He had already called Criminalist, Corrie Maggay, and she will be responding to the hospital in approx. 1 hour. He will send an investigator to the hospital after the brieling. On 01/21/2020 at 0148 hours, Deputy Hoag received a call from Andrew Hayes with the OCCL who stated Criminalisl C. Maggay is on her way to the lab and they will leave together. He estimates a 30 minute eta. Hoag asked that he call us when they arc leaving the crime lab so that we may drive to the hospital as well; he agreed. On 01/21/2020 at 0215 hours, this case was assigned to me by Coroner Watch Commander E. Arellano. Deputy Hoag advised me that the OCCL Criminalist and ID Tech were enroute to the hospital. FVPD had the decedent's name but it was unavailable al the time of my response to the hospital at 0233 hours. I arrived at the hospital at 0245 hours and met with FVPD Oflicer Shook, FVPD Detective Kim Holmes and OCDA Carlos Gonzales. Shortly after arrival, Orange County Crime Lab Criminalist Corrie Maggay and ID Technician Andrew Hayes arrived. A group brieling was held by OCDA Gonzales. Based on the preliminary investigation, subject to change, the decedent Jived with his parents at 10304 La Hacienda Avenue #J5 in Fountain Valley. Earlier this evening Santa Ana Police Ofliccrs responded to the address to attempt to serve a warrant on the decedent. Officers made contact with the decedent and at some point, an officer involved shooting ensued and as a result, the decedent was shot multiple times, possibly by two officers. The decedent's parents were present and witnessed the event; both arc currently al Fountain Valley Police Department being interviewed. Both parents arc Spanish speaking only and have also been notified of the death by detectives who arc interviewing them. The decedent was identified as MERCADO-SEGURA, Miguel (11/09/1988). Orange County District Auorncy's Office and Fountain Valley Police department will allcnd the autopsy. For the purpose of identification, I contacted Coroner Watch Commander Arellano and requested she run the decedent for a DMV photo with the name and date of birth provided by OCDA Gonzales. Arellano sent the result 10 my cell phone. I proceeded to Observation Room # 17 where I identified the decedent via visual comparison to his DMV driver's license. I observed the decedent nude and laying supine on a gurney. Medical intervention included an endotracheal tube, EKG/AED pads on the upper chest, bilateral chest tubes, right antecubital fossa intravenous line left central line, bilateral tibia intraosseous lines and left forefinger pulse oximeter. On the floor next to the gurney was a paper bag with the decedent's clothing. I took several digital photos alongside ID Tech Hayes. Criminalist Maggay examined the decedent's hands and was unable to take any swabs or fingernail scrapings due to his hands being too bloody. Maggay said ii was not necessary to bag the decedent's hands. Several gunshot wounds were observed below his right breast, right side just under his arm pit, lower right groin above his pubic area, right side upper hack, lower middle back and 5 grouped shots on his right bullock. I proceeded to the body examination and palpated no trauma to his head. The sclera were clear and firm to the touch. I observed no oral trauma inside or out and rigor mortis was forming in his neck. There was no other trauma visible or palpated. I placed an ORANGE COUNTY SHERIFF-CORONER 1071 W. SANTA ANA BLVD. SANTA ANA, CA 92703 CORONER'S INVESTIGATION REPORT MERCADO SEGURA, Miguel A. 20-00372-MM PAGE: 2 identification tag on his foot. A representative from Traditional Mortuary placed the decedent inside of a zippered body bag. I then placed a second identification tag on the outside zipper and placed a coroner seal at 0428 hours. I then directed the Traditional Mortuary representative to transport the decedent to lhc Coroner's Office. Criminalist Maggay removed collected the decedent's clothing and booked it into Sheriffs evidence. On 01/21/2020 at 0837 hours, Coroner Investigator S. Rodriquez received a call from DA Investigator Craig Brower. He confirmed he had notified the decedent's parents of the death but did not have any further information regarding the decedent. He stated they were provided a card with the coroner's phone number and case number. He said we arc good to conduct a standard interview with the parents but they arc Spanish-speaking only. On 01/21/2020 at 1831 hours, Coroner Walch Commander E. Arellano called the decedent's father, who confirmed the decedent was never married and did not have any children. Arellano explained coroner procedures and he stated he understood. Arellano immediately called OCDA Inv. S. Berry and notified him that the next of kin arc in fact the parents. Based on the totality of the investigation, this case was mannered Homicide. COUNTY OF ORANGE (LAST) Age3O Sex Male Race _.:..H::::is~p::::a.:.:.ni:.::::c~ Ht.ufc_ How Identified ------By Date ------- Date of Death 1/21/2020 Time 12:31:00 AM -~::..:.:.:='-"--D EST D FD PLACE OF DEATH ...lJ_ UC Irvine Medical Center tJ p<3,.erl/ ttfrt,t/):fr{7 (Include hospital admission date and time when applicable) 1/21/2020 12:02:00 AM PROBABLE CLASSIFICATION: 0 NATURAL O ACCIDENT ~ HOMICIDE O SUICIDE O TRAFFIC ~ 010 0 INCUSTODV COMMENTS The decedent was shot by on duty P.0lice officers serving a warrant. He was transported to the hospital and pronounced dead in the ER. VUA.A)c; 'LAW ENFORCEMENT AGENCY Primary Agency Fountain Valley Police Department Report #..:2:.:0'-'·0:.:2:.:5;..:.1.:.6 ___ _ Det/lnv T. Shook #320 Other Agency Orange County District Attorney Report# ________ Det/lnv INSTRUCTIONS: ACCESS PER PROTOCOL O HOLD POST O POSSIBLE CHARGES PENDING O Do Not Undress 0 Do Not Print/pend GSA O GSA completed Kit -----t,1'ake Tox D Embalm after post/per ______ _ Special Instructions: D Contaminated/Conte lous EVIDENCE RECEIVED BY FSC: D Ante-mortem blood sample By: ------From Date Tlmo --------------- □---------By: ------From Date Time --------------- AUTOPSY NOTIFICATIONS: ~CSD / ID Unit \ Conference Date ~ ~Q, Time Pathologist . FR# ~o -oq By Date/Time ; CSD/Crlmlnallst ~ hone t By Date/Time D/SO Det/lnv By Date/Time honeg;, (q-~q / A Investigator Phone By Date/Time 0 OCSO/Jall Doctor Phone By Date/Time □other Phone By Date/Time D other Phone By Date/Time A Jan, 27. 2020 3: 52PM No. 1135 P. t AUTHORIZATION FOR THE RELEASE OF REMAINS IN THE CUSTODY OF THE CORONER "-flut MERCADO SEGURA A. ---~ , Coroner Fe1 -------..-,,a The fee of $318.~0 !s.~eiffu recover the cost of transportation and atorage of human remains Incurred by lhe Orange County Cor~ce. This fee wes adopted by the Orange County Board cf SupaJVlaora on August 8, 2006 per Ordlnance1i06-007, and aulhorlzed by Government Code Sections 27472 and 54985. Remittance Is expected upon ----m-tee ... ae of the decedent to the funeral home. Tjesue(sllQmantsllBodv EIMi.1!00 BRlloll0o Notice VI/her, a postmortem examination Is conducted to determine or confirm !he cause and/or manner or death In aocordance With Callfomte GO\lemment Code Section 27491, llssue(s)/orgen(s)/body fll.dd(a) may be retained fc,r analysts andfor evldentiary purpoae1 purauant to California Government Code Sections 27491.4 1 27491.45. Tlssue(s)/organ(s)/body fluld(a) retalned at autopsy or as part of any Coroner lnveetlgaHve procedure will be disposed ot purauanl to Callfomla Heallh & Safety Code Section 7054.4. You may Inquire about whether anything has been retained by the Coroner In this regard. Legal Next of Kin I declare, under penalty of perjury, that I have the right to control dJspoeldon of the remains listed In accordance with Hee llh & Sa1ety Code Section 7100 and I havs read the tissue/organ/body fluid retention notice, P RQATION8HIP1 9T : C : LJ19al Representative (If not Next gf Kin} RW!OPARTY: P NT FULL N~MS OF 1'UT ORIZl!D P1'RT'fr '-TIOflSH P: l'RINT D0Rl!SlSI CITYl 8TATI!lllP CQ01!: TeLEFHONI!: ( OP KIN: Pmpertv Release I declare, under penalty of per;ury, that I have lhe right to take custody of personal property of the above decedent pursuant lo Callrornla Probate Code SecHon 8461. MOTHER 'rFUl.l.NAMli: ,\0 • 1 I RevllCld04/0112013 \.; Jan.27.2020 3:52 P~ No. 1135 P. 2 AUTHORIZATION FOR THE RELEASE OF REMAINS IN THE CUSTODY OF THE CORONER I t.a1t H1111 ■ofDIIGlld1nt l'lrtt Mlddl• lnldll Cclrl,n,rC'-# MERCADO SEGURA MIGUEL A. 20-00372-MM t / Coroner Fee The ree of $318 .00 is assessed to recover the cost of transportation and storage of human remain& Incurred by the Orange County Coroner's Office . This fee was adopted by the Orange County Board of Supervisors on August 8, 2006 per Ordinance #06-007, and authorized by Government Code Sections 27472 and 549135, Remittance Is expected upon release of the decedent to the funeral home. T!ssue(s)/Organ(s)/Body Fluld(sl RetenUon Notice When a postmortem e>eamlneHon le conducted to determine or conflnn the cause and/or manner or death In accordance with Cellfomla Government Code Section 27491, lls:n1e(&}/organ(a)/body fluld(a) may be retained for analysis and/or evldentlary purposes pursuant to California Govemmenl Code Sections 27491.4, 27491.45, Tlssue(s)/organ(s)/body fluid(&) retained at autopsy or as pE1rt of any Coroner Investigative procedura will bi, disposed of pur&uanl to canrornla Health & Safety Code Section 7054 .4, You may Inquire about whether anything has been retained by the Coroner In Ihle regard. Legal Next of Kin I declare, under penalty of perjury, that I have the right to control djsposltion of the remain• listed In accordance with Heallh & Safety Code Section 7100 and I have read the tissue/organ/body fluid retention noflco, ORTJlARY FATHER Legal Representative (If not Next of Kin) SIGNATUR& OF AUTHORIZl!D PARTY: PRINT fV"-....... -• l'AIHYI RELA TIONStilP: l'IIINT l'ULL ADDRE$$ 01' 1,VTHORIZED P11KTY UETOW: ADORliSI: cnv: STATJ!IZIP 00D1!: '1ElliPHONE: t ) Rl!AISON POlt Hl,NOUNO ti' NOT Nl!XT Of' KIN! Property Release I declare, under penalty of perjury, that 1 have the right to take custody of personal property of the above decedent pursuant lo Canrornfa Probate Code Section 8461. RELA TIONBHIPI FATHER AODR : I Revlaad D4/01/2013 1/24/2020 3: 13·40 PM Page 3 of3 alENT INFORMATION 450 Sheriff-Coroner County or Orange 1071 W Santa Ana Blvd Santa Ana, CA 92703 Collection Date: Procedure County of Orange Health Care Agency PUBLIC HEALTH LABORATORY PATIENT INFORMATION I NAME: Mercado Segura. Miguel BIRTHDATE: November 09, 1988 AGE: 31 years GENDER: Male SEROLOGY January 23, 2020 Procedure MEGAN CRUMPLER, PhD, HCLO Laboratory Director ORDER INFORMATION MRN: 1000-92-0332 OPI: 2D-00372-MM PHYSICIAN: Kirn, Yong-son ACCESSION II: 20-023-0256 1729W 17'h Street Santa Ana California 92706 • MAIN (7141834-8385 FAX (7141834-7968 Printed. 1/24/2020 3 .13 29 PM LEAVE BLANK CRIMINAL 1TATEU9AGE ilONA E Of PE !JON f-lNOERPRlN11:0 'l.lASe:S,UAilt>EN .Ast NAME.t1R9f NAt-.1E, MIDDLE N.\UE, s.....i:1,c Fl!IND 11v.n; IDEHTIFICATION HO. STATE USAGE tlFF&ECOND suat,IISSIOU (STAPLE HERE) □ □ Al'PAOXIIAATE (l.AS9 Af.APllTAnoN □ SCAA V.SfNAME, FIMT IIAME, 1.\IDOLE NAME 8UFFIX MERCADO SEGURA, MIGU EL LEAVE BLANK SOCL<I. SECURITY NO I llllll 111 11 111 1111111 11111 11111 11111111111111 llll 20-00372 -MM DATE OF e,nTH MM 00 YV 11 -09-1 988 MERCADO SEG URA , Miguel Homicide sax HllGHT WE·GHT M 31 Years Male .....