Nos. 86-1562(L), 86-1654.United States Court of Appeals, Fourth Circuit.Argued January 7, 1987.
Decided March 18, 1987.
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John A. Austin, Asst. Co. Atty. (Malcolm F. Spicer, Jr., Co. Atty., Towson, Md., on brief) for appellants.
Mark S. Dachille (Mark H. Kolman, Gordon, Feinblatt, Rothman, Hoffberger Hollander, Baltimore, Md., on brief) for appellee.
Appeal from the United States District Court for the District of Maryland.
Before WINTER, Chief Judge, PHILLIPS, Circuit Judge, and MERHIGE, Senior United States District Judge for the Eastern District of Virginia, sitting by designation.
HARRISON L. WINTER, Chief Judge:
[1] Plaintiff Paul Anthony Cooper sued Baltimore County Police Officers Dyke, Markert and Morseberger for their alleged deliberate indifference to plaintiff’s serious medical needs, in violation of 42 U.S.C. § 1983, and for the pendant state claims of false arrest and negligent provision of medical care. The district court granted defendants’ motion for directed verdict on the negligence count, but submitted the other two causes of action to the jury. [2] The jury awarded Cooper $75,300 on the § 1983 claim ($25,200 in compensatory damages and $50,100 in punitive damages), split equally among the three defendants. Nominal damages of $1 each were assessed against Dyke and Markert on the claim for false arrest (with which Morseberger was not charged). The district court awarded $36,240.01 to plaintiff’s attorneys for their costs, expenses and fees, pursuant to 42 U.S.C. § 1988. Defendants appeal both awards. [3] Defendants contend that the district court erred in denying their motions for a directed verdict and judgment notwithstanding the verdict, that the jury instructions were flawed in several respects, that irregularities in the jury’s deliberation process necessitate reversal, and that the attorneys fee award was improperly calculated. We find no merit in these contentions, and thus affirm. I.
[4] Shortly before 3:00 a.m. on December 18, 1982, Paul Cooper, a sixteen year old boy, and several friends were involved in an altercation at Skateland Roller Rink in Owings Mills, Maryland. Cooper received a gunshot wound in the upper chest, under his left arm; his friend James Hill was shot in the hand. Cooper, Hill and others left the area in a van which was soon thereafter stopped by Officers Dyke and Markert. Although several occupants of the van quickly fled the scene, Cooper and Hill
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walked toward Officer Dyke and told him that they had each been shot.
[5] Because of Hill’s visible injury and Cooper’s complaints, Officer Dyke summoned an ambulance. The paramedics arrived within a few minutes and began to examine the boys. During this time, several busloads of people leaving Skateland were stopped by the roadblock set up by the police. The gathering crowd became increasingly disruptive and started threatening the boys and officers. Officer Market testified that the police “were afraid of having almost a full-scale riot. . . .[events had] escalated very quickly . . . .to what was a very volatile situation. . . .” When several members of the crowd came up behind the paramedics, screaming that they were going to kill one of the boys, the paramedics interrupted their examination and retreated toward the ambulance until the police regained control of the situation. [6] One of the paramedics who subsequently returned to examine Cooper stated that they did “[t]he best we could under the conditions.” Those conditions, however, included very poor lighting, cold weather, and people shouting and running about. The paramedics, afraid for their own safety, were, in these circumstances, unable to conduct a very thorough examination. They did not remove Paul Cooper’s shirt or jacket, and they did not, in the end, discover his bullet wound. The paramedics told the police that they found no injury on Cooper. [7] Cooper and a friend, Donald Parker, were handcuffed and taken to Garrison police station by Officer Dyke. Officer Market remained at the scene until approximately 3:30 a.m., and then returned to Garrison. Once at the station, Cooper and Parker, along with another friend, Kevin Lovelace, were handcuffed to a detention rail that stood approximately twelve feet away from Desk Officer Morseberger. [8] Although denied by the officers, Cooper testified that he and his friends repeatedly complained that Cooper had been shot and pleaded with the officers to take him to the hospital. Indeed, Parker’s protests were apparently so loud and persistent that he was removed from the rail and placed in a cell in another part of the station. At some point, Cooper’s handcuffs were even altered by an unidentified officer so as to permit him to lie down on the floor. Aside from that, however, he remained unattended to until Lovelace vomited on him. When Cooper failed to respond, Officer Morseberger finally decided to examine him more carefully. The wound was discovered and an ambulance was called. [9] Cooper arrived at the hospital at approximately 5:10 a.m. Dr. Roger Theodore, the trauma surgeon who treated Cooper, testified that Cooper was in profound shock and in need of immediate surgery. He was suffering from internal bleeding, a collapsed lung, a perforated stomach and a lacerated liver and diaphragm. Dr. Theodore further testified that, as a result of his injuries, Cooper would have been in great pain and manifesting a variety of symptoms, including shortness of breath and gasping for air. Cooper recovered after surgery. [10] We turn to defendants’ several contentions and consider them seriatim. II. [11] Denial of Motions for Directed Verdict and Judgment Notwithstanding the Verdict
[12] The denial of defendants’ motions for directed verdict and judgment n.o.v. cannot be disturbed unless, without weighing the evidence or assessing witness credibility, we conclude that reasonable people could have returned a verdict only for defendants. See Gairola v. Virginia Dept. of General Services, 753 F.2d 1281, 1285 (4 Cir. 1985) (directed verdict); Howard v. McCrory Corp., 601 F.2d 133, 137 (4 Cir. 1979) (judgment n.o.v.). We cannot reach that conclusion in this case. Viewed in the light most favorable to Cooper, and giving him “the benefit of all inferences which the evidence fairly supports,”Continental Ore Co. v. Union Carbide Carbon Co., 370 U.S. 690, 696, 82 S.Ct. 1404, 1409, 8 L.Ed.2d 777 (1962), the evidence is more than adequate to sustain the jury’s verdict.
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[13] A. The § 1983 deliberate indifference claim
[14] Cooper’s theory of recovery under § 1983 is that, after the initial examination by the paramedics, defendants manifested “deliberate indifference” to his serious medical needs. See Estelle v. Gamble, 429 U.S. 97, 97 S.Ct. 285, 50 L.Ed.2d 251
(1976). Defendants maintain that their duty to Cooper was satisfied when they called the ambulance to the scene, and that they reasonably relied on the medical judgments of the paramedics. However, all three defendants conceded at trial that if Cooper had continued to complain after the initial exam, the officers would have been obligated to seek additional medical attention. Defendants’ perception of their obligation accurately reflects the state of the law; government officials who ignore indications that a prisoner’s or pretrial detainee’s initial medical treatment was inadequate can be liable for deliberate indifference to medical needs. Continued complaints by Cooper, or the manifest symptoms described by Dr. Theodore, would have put defendants on notice that additional care was required. See, e.g., Miranda v. Munoz, 770 F.2d 255, 259 (1 Cir. 1985) (upholding denial of judgment n.o.v. where “[i]t could be found that defendants ignored a clear warning that the medical treatment they provided for [plaintiff, a pretrial detainee] was inadequate, allowing him to deteriorate beyond recovery”) Duncan v. Duckworth, 644 F.2d 653, 654 (7 Cir. 1981) (“While the initial failure to properly diagnose [plaintiff prisoner’s] injury may be attributable to no more than an error in judgment, . . . the failure to promptly schedule surgery, once the need for it was recognized, and in the face of [plaintiff’s] repeated complaints of severe pain, . . . give[s] rise to at least an inference of [deliberate] indifference”).
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defendants had notice of Cooper’s need for further medical care are underscored by the officers’ knowledge of the chaotic conditions under which the initial exam was undertaken. Claims of “reasonable reliance” on the paramedics’ judgments are less than persuasive in these circumstances. In sum, there was, at a minimum, more than sufficient evidence of deliberate indifference to warrant submitting this claim to the jury.[1]
[18] B. State law false arrest claim
[19] Cooper recovered also for deprivation of his liberty without his consent and without legal justification, comprising the common law tort of false arrest or false imprisonment. Great Atlantic Pacific Tea Co. v. Paul, 256 Md. 643, 261 A.2d 731, 738 (1970). Under Maryland law, the existence of “legal justification” is judged according to the principles derived from the law of arrest. Id. In the case of police officers, a warrantless arrest is justified only if (a) a misdemeanor or felony was committed in their presence — not even arguably the case here, or (b) if the officers have probable cause to believe that a felony has been, or is about to be, committed. 2 Maryland Law Encyclopedia, “Arrest,” § 4 (1960 Supp. 1986).
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III. [22] The Jury Instructions
[23] Defendants contend that the negligence of the ambulance crew was an intervening cause of Cooper’s injury sufficient to absolve the officers of any liability, and that the district court erred in failing to give defendants’ proffered instruction on intervening causes. However, Cooper’s claim was based on defendants’ deliberate indifference to his continued complaints and obvious suffering after the time of the initial paramedic exam.[2] The paramedics’ negligence thus could not have constituted an “intervening” cause, and defendants were not entitled to a special instruction. The district judge reached this same conclusion during the trial, a conclusion with which defendants’ counsel indicated agreement. Moreover, the proximate cause instructions that were given were adequate to account for defendants’ legal theory.[3]
standard not met in case involving pretrial detainee’s deliberate indifference claim, since Supreme Court precedents have clearly established the duty owed by public officials in this context). Defendants fail to explain why the Harlow standard is inapplicable here, or why they believe it has been undercut b Whitely v. Albers, 475 U.S. 312, 106 S.Ct. 1078, 89 L.Ed.2d 251
(1986), in which the Supreme Court explicitly declined to consider the qualified immunity issue. Id. 106 S.Ct. at 1088. We perceive no error in the court’s reliance on Harlow. [25] Defendants also criticize the good faith instruction as confusing. The court’s reference to “objective reasonableness” was taken directly from the language in Harlow, 457 U.S. at 818, 102 S.Ct. at 2738. Although its inclusion in the instruction here may not have contributed to the jury’s clarity of understanding, we consider the instruction as a whole to be relatively clear and comprehensible: the jury was properly told to determine if defendants’ conduct violated clearly established legal standards, as judged objectively, by a reasonable person.
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[26] Defendants next criticize the district court’s instructions regarding punitive damages. Such damages are available in § 1983 actions for conduct that involves “reckless or callous indifference to the federally protected rights of others,” as well as for conduct motivated by evil intent. Smith v. Wade, 461 U.S. 30, 56, 103 S.Ct. 1625, 1640, 75 L.Ed.2d 632 (1983) See Generally Cook Sobieski, 2 Civil Rights Actions, “Punitive Damages,” ¶ 4.08 (1986). Defendants’ contention that there was insufficient evidence to establish willfulness or malice is thus irrelevant. The callous indifference required for punitive damages is essentially the same as the deliberate indifference required for a finding of liability on the § 1983 claim; the propriety of a guilty verdict on the latter thus supports the punitive damage award as well.[5] The district court properly told the jury that it was permitted, but not required, to assess punitive damages. There was ample, though disputed, evidence of disregard for Cooper’s repeated complaints and obvious symptoms; submission of the punitive damages issue to the jury was thus appropriate. [27] The district court’s instruction on the constitutional standard for the § 1983 claim explicitly referred only to the Due Process Clause of the Fourteenth Amendment. Defendants contend that this was error, i.e., that it is the Eighth Amendment’s protection against cruel and unusual punishment, rather than the Fourteenth Amendment’s protection against deprivations of liberty without due process, that was applicable in this case. However, while the Eighth Amendment is properly invoked on behalf of those convicted of crimes, it is the Due Process Clause of the Fourteenth Amendment that applies to pretrial detainees like Cooper Ingraham v. Wright, 430 U.S. 651, 671-72 n. 40, 97 S.Ct. 1401, 1412-13 n. 40, 51 L.Ed.2d 711 (1977); Loe v. Armistead, 582 F.2d 1291, 1293-94 (4 Cir. 1978), cert. denied sub nom. Moffitt v. Loe, 446 U.S. 928 (1980). In any event, the specific amendment cited to the jury is not particularly significant as long as the standard for liability was accurately laid out. Defendants do not contest the court’s recitation of the standard, and there is no basis for reversal on this ground. [28] At trial, both parties apparently agreed on the use of the “deliberate indifference” standard established in Estelle v. Gamble, 429 U.S. 97, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976). We note, however, that this standard imposes a heavier burden on the plaintiff than was necessary. Because Estelle involved a convicted prisoner, the Court analyzed the case in terms of the Eighth Amendment, and concluded that “deliberate indifference to [a prisoner’s] serious medical needs” constitutes cruel and unusual punishment. Id. at 106, 97 S.Ct. at 292. Plaintiff Cooper, however, was not convicted of any crime. The significance of this distinction was explained in Ingraham v. Wright, 430 U.S. at 671-72, n. 40, 97 S.Ct. at 1412-13 n. 40:[29] See also Bell v. Wolfish, 441 U.S. 520, 535 n. 16, 99 S.Ct. 1861, 1872 n. 16, 60 L.Ed.2d 447 (1979) (“Due process requires that a pretrial detainee not be punished. A sentenced inmate, on the other hand, may be punished, although that punishment may not be `cruel and unusual’ under the Eighth Amendment”). [30] Since Cooper was, at most, a pretrial detainee, he needed only to prove that he was punished, in contravention of theEighth Amendment scrutiny is appropriate only after the State has complied with the constitutional guarantees traditionally associated with criminal prosecutions. . . . [T]he State does not acquire the power to punish with which the Eighth Amendment is concerned until after it has secured a formal adjudication of guilt in accordance with due process of law. Where the State seeks to impose punishment without such an adjudication, the pertinent constitutional guarantee is the Due Process Clause of the Fourteenth Amendment. (citations omitted)
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Fourteenth Amendment, rather than that he was punished in a cruel and unusual manner, in violation of the Eighth Amendment. In fact, even the requirement of proof of punishment is arguably too high a burden of proof under the circumstances here. The Court i Wolfish noted that the Government may lawfully detain an individual prior to trial and “subject him to the conditions of the detention facility so long as those conditions and restrictions do not amount to punishment. . . .”441 U.S. at 536-37, 99 S.Ct. at 1873. These curtailments of liberty are permitted only because there has already been a “judicial determination of probable cause as a prerequisite to [the] extended restraint of [his] liberty following arrest.” Id. at 536, 99 S.Ct. at 1872 (quoting Gerstein v. Pugh, 420 U.S. 103, 114, 95 S.Ct. 854, 863, 43 L.Ed.2d 54 (1975)). There has frequently been a bail hearing as well. Wolfish, 441 U.S. at 536, 99 S.Ct. 1872. In Cooper’s case, however, there had been no hearing to assess probable cause or set bail — indeed, no judicial determination that there was any basis for Cooper’s detention. As defendants themselves repeatedly stressed, he was never officially placed under arrest. In these circumstances, where no process was invoked, even deprivations of liberty that do not rise to the level of “punishment” arguably suffice to establish a Fourteenth Amendment violation.
[31] Defendants mistakenly rely on Whitley v. Albers, 475 U.S. 312, 106 S.Ct. 1078, 89 L.Ed.2d 251 (1986), which found the Due Process Clause to afford no greater protection than the Eighth Amendment. That case dealt solely with the rights of convicted prisoners, and the Court expressly so limited its holding. The Court was careful to point out that the case did not involve pretrial detainees, and noted that its decision implied nothing about the scope of the Due Process Clause “outside the prison security context.” Id. at 1088.[6] IV.[32] Irregularities in the Jury’s Deliberations
[33] Shortly after the jury retired to begin its deliberations, it sent out a note requesting a verdict form. In response, the jury was apparently given a copy of part of the second amended complaint, which had not been introduced into evidence. This was done without the judge’s knowledge, and without the knowledge or consent of defense counsel. Defendants contend that this constitutes reversible error.
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Prac. ¶ 59.08[4]. It appears that only counts one and two were sent to the jury, in which case the possible prejudice is minimal since the jury would thus not have seen the ad damnum clause requesting a total of $350,000 in damages. Moreover, defense counsel acknowledged at oral argument that the district judge had, without objection, read a paraphrased version of the complaint in his instructions to the jury. Any incremental prejudice that occurred when the jury viewed the original complaint was necessarily slight.
[36] Defendants also claim that the verdict was the product of an improper barter or compromise. They note that, at one point during its deliberations, the jury reported that it could not reach agreement. Subsequently, a verdict form was returned which showed several erasure marks and a damage award that was equally divided among the three defendants. [37] Defendants’ characterization of the deliberation process derives from speculation that lacks solid evidentiary support. It is well settled that “a verdict cannot be upset by speculation”; the impropriety must be evidenced by “legally competent proof” 6A Moore’s Fed.Prac. ¶ 59,08[4] (emphasis in original). We think it unlikely that the verdict here resulted from improper deliberative techniques. Compared to the amount sought, the verdict does not represent a reduction of damages to appease those opposing any finding of liability. Nor is there any basis for believing that the award represents an improper averaging of individual jurors’ preferred damage figures without unanimous agreement on the final number actually chosen. See id.Defendants’ motion for a new trial was thus properly denied.
V. [38] The Attorneys Fee Award
[39] In determining an appropriate award of attorneys’ fees, the district court is required to explain the basis for its assessment, including its application of the factors set out i Johnson v. Georgia Highway Express, Inc., 488 F.2d 714 (5 Cir. 1974). Mammano v. Pittston Co., 792 F.2d 1242, 1245 (4 Cir. 1986). If this requirement is met, the scope of appellate review is very narrow. Daly v. Hill, 790 F.2d 1071, 1078-79, 1085 (4 Cir. 1986). The district court’s lengthy opinion on this issue (Mem. Order, Civ. No. R-83-4074, June 24, 1986) demonstrates a carefully reasoned analysis of both the factual circumstances and relevant legal precedents. Its rejection of plaintiff’s request for a ten percent increase based on certai Johnson factors, id. at 11-13, and its reduction of the additional fee request as “excessive,” id. at 15-16, indicate both an objectivity towards the parties and an attention to detail. We perceive no abuse of discretion.
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106 S.Ct. 2686, 2690-93, 91 L.Ed.2d 466 (1986). Moreover, the absence of more than nominal damages on the false arrest count does not diminish plaintiff’s right to full compensation. Hensley, 461 U.S. at 434-35, 103 S.Ct. at 1939-40; Rivera, 106 S.Ct. at 2694-95
(explaining that fee awards need not be proportionate to amount of damages recovered, and affirming award that was seven times greater than total amount of damages). The district court in this case properly concluded that the overlapping claims and “excellent results obtained” warranted full compensation. (Mem.
Order, Slip. op. at 7)
V.
[49] To summarize: we find no merit in defendants’ arguments on appeal, and therefore affirm the judgment entered in favor of plaintiff Cooper. Cooper’s attorneys are entitled to the entirety of the fee award ordered by the district court, as well as their reasonable fees incurred in preparation of this appeal. Accordingly, we remand the case to the district court for the sole purpose of determining the additional fees which are now due to plaintiff’s counsel.
At oral argument, Officer Markert’s attorney alleged that Markert did not travel back to the station with Cooper, and that he had no involvement with Cooper after the time of the paramedic exam. Thus, counsel argued, Markert could not be liable for indifference to Cooper’s medical needs, since Cooper had limited this claim to the post-exam period. It is true that Markert did not go immediately to Garrison station; he remained in the Skateland area until approximately 3:30 a.m. However, at that point, he did go back to the station and he did see Paul Cooper there, chained to the detention rail. Markert conceded that Cooper would have been, at that time, at least partially his responsibility. Moreover, when asked if Cooper appeared to be in any distress, Markert stated: “The only distress I remember Mr. Cooper being in was one of probably being there, to begin with, and secondly, saying his stomach hurt and just to make a normal grimace that his stomach hurt.” Here, too, there is ample evidence to support the jury’s finding of liability.
An injury or damage is proximately caused by an act or failure to act, whenever it appears from the evidence in the case that the act or omission played a substantial part in bringing about or actually causing the injury or damage. And that the injury or damage was either a direct result or a reasonably probable consequence of the act or omission.
If you find the defendants committed no wrongful act or if you find that any wrongful act which the defendants did commit, did not proximately cause the injuries complained of by the plaintiff, then you must find in favor of the defendants on the issue of monetary damages. . . . [I]f the monetary damages claimed by the plaintiff are not related to any action on the part of the defendants, or any of them, then even though the plaintiff’s suffered a loss, that loss is not chargeable to these defendants. Thus, if you find that the plaintiff did suffer monetary damage or injury, if you find that that injury was a result of factors other than the treatment he received while in control of the defendants, then you may not award damages based on those injuries or loss.
Now you are instructed that the defendants, as they are, Baltimore County Police Officers, are public officials and as such they are immune from liability under Section 1983, if their actions were undertaken in good faith. Thus, the officials are not liable for damages, insofar as their conduct did not violate clearly established statutory or Constitutional rights, of which a reasonable person would have known. Whether an official may prevail in this defense depends upon the objective reasonableness of his conduct, as measured by reference to clearly established law. The burden is on the defendants to establish this good faith defense to the claim under Section 1983, by a preponderance of the evidence.
we concluded that the pretrial detainee-plaintiff had adequately made out a deliberate indifference claim; we were thus not required, or asked, to decide if a lesser standard would be applicable. Moreover, in Loe, we explicitly stated that “we need not decide the exact scope of the protection that due process provides [to a pretrial detainee] because we agree . . . that due process is at least as coextensive as the guarantees of the eighth amendment,” and that Loe’s allegations satisfy the eighth amendment. 582 F.2d at 1294 (emphasis added).