Office of Chief Medical Examiner Tarrant County Medical Examiner's District ‘Tarrant County, Texas. srt on ah Jes TO 8 AUTOPSY REPORT AME: Randall Tabor WADDEL ‘CASE NO; 1508808, Ags ‘Sex: Male Height: 69 Inches Weight: 278.2 pounds |, Nizam Peerwani, M.D., hereby certify thet pursuant to Article 49.25 of Code of | Criminal Procedure, State of Texas, performed @ complete autopsy on the body of RANDALL TABOR WADDEL at the Tarrant County Medical Examiner's District Morgue in Fort Worth, Texas. on the twenty fourth day of June 2015, beginning at 1205 hours, and upon investigation ofthe essential facts conceit the circumstances of the death and history of the case as known to me at this, time, | am of the opinion that the findings, cause and manner of death are as follove FINDINGS: Investigative findings: A. Decedent shot twice by a police officer during an altercation at pubic. store: 1. EMS dispatched to a parking lot where the decedent had ‘apparently stumbled and fallen. 2, EMS personnel felt threatened by the decedent and requested police back-up. 3. Decedent ran to an adjacent store wielding a knife and later advanced towards a police officer wielding a knife when he was shot twioe. “Transported to Harris Hospital Methodist in Fort worth with: ‘) First provider contact on 06-23-2018 at 1187 hours. b) ED Triage vitals and initial labs: (1) Blood pressure: 140/73 mmHg, (@)Putse: 120/minut, {@) Respiration: 18/minute, (4). 5p02: 86% - hypoxic (6) HH: 9/6 g/dL with hematoort of 28.7. {© Prothrombin Time: 16.1 (Normal: 11.8-14.7 secs). (7)INR: 1.28 (normal). (6) Serum ethyl alcohol = 0.262 om% mPaget t2 eine anda Tabor WADEEL FINDINGS (Continued): ©) Clinical assessment; Mulipticty of internal injuries with bhemorthagie shock including: (1) Leceretion of right lung and giaphragm, (2) Grade-3 liver lacerations. (6) Transaction of pancreas. (4) Grade splenig laceration, (6) Perforation of 4 portion of duodenum x 2, mide ‘Segment of jejunum and transverse colon (6) Laceration of branch of mesenterio vein. (7) One bullet recovered by the surgeon and released to the police officer Location of bulletnot described. ) Pronounced dead in Trauma IGU on 06-29-2016 et 1428 hours. B. Medical history: Hypertension, hypercholesterolomia, alcoholism and bipolar disorder. . Firearm used by the police officer: 40-cal Glock semi-automatic with jacketed hollow-point ammunition. Postmortem findings: ‘A. Penetrating gunshot wound of torso with: 41. Wound of Entrance: Right mid-chest (GSW # 1) 2. ange: Absence of visible soot or powder. No muzzle imprint, (Examination of clothing Items is recommended). 28. Path of the Bullet: Front-to-back, right-to-left and downwards. 44, Wound of Ext: None. 5. Bullet Recovered: Large callber jacketed deformed bullet from the soft tissues of left lank. 6. Injuries: a) Entry wound of thorax through the 10" right anterior rfp and underlying ntereostal space. ») Contusion of anterior right lower pulmonary lobe. ©) Laceration of right diaphragm. 1) Large stellate through-and-through laceration of left hepatic lobe. «@) Trangaction of tall of pancreas. 4), Grazing laceration of spleen. 9) Residual hemoperitonium (100 mL}.Pages of 12 FINDINGS (Continued): B, Penetrating gunshot wound of forso with: + Wound of Entrance: Right flank (GSW #2) 2. Range: Absence of visible soot or powder. No muzzle imprint, (Examination of clothing items is recommended). 8, Path ofthe Bullet Righto-eft and downwards. 4, Wound of Ex: None. 5, Bullet Recovered: None ~ medial records insicate that a bullet was recovered by he surgeon and released to apolce officer. Inlutes: 2) Entry wound of thorax through the 7 right lateral ri. ») Laceration of right claphragm. ¢) Large stellate throughr-anc-rough laoration of right lower hepatic lobe. ©. Status-post exploratory laparotomy with: 4. Hemicolectomy. 2) Reeecton of 4 portion of duodenum, terminal leum and mid segment of small bowel 3. Overssening branehes of superior mesentels vein D. Mild cardiomegaly (weight = 485.2 gms). E. Hepatomegaly (weight = 2120 gms) with severe fatty metamorphosis. F. Pulmonary vascular congestion, bilateral, severe. G. Visible gunpowder residue on hands and or wrists: None H. High velocity blood back spatter on hands and or wrists: None: Ill Absence of defensive wounds, neck trauma, visceral blunt foroe trauma or craniocerebral trauma. IV. Posimortem toxicology: A. Femoral blood ethan B. Femoral blood Ephedrine/Pseudoephedrine C. Drugs of abuse and acid soreen on aofta blood: Negative. 2Page dot 12 ‘soseen [CAUSE OF DEATH: GUNSHOT WOUNDS OF CHEST [WANNER OF DEATH: HOMICIDE TS b Ch Gg eam poorer 0. Signature Chief Medical Examiner1. CLOTHING AND PERSONAL EFFECTS: The body is presented to the Morgue nude, wrapped in a white sheet. I THERAPEUTIC INTERVENTION: 1. Indwelling endotracheal tube. 2. Foley catheter with bag (no urine) 8. Vascular line along right subclavian area. 4, Vs-along right antecubital fossa and left wrist. 5. Tube thoracotomies x 2 measuring 2 inches and 9-1/2 inches along right flank with indwelling chest tubes. 6. Two abdominal drains along lett lower abdomen. 7. Sutured surgical incision along left flank (attempted tube thoracotomy). 8. Open midline laparotomy incision = 13 inches. Hands are bagged in paper sacks. Ml, EXTERNAL BODY DESCRIPTION Body length: 69 inches, Body woight: 278.2 pounds. ‘The decedent is a normally developed, adit white male with the stated age of 42 years, The unembalmed body is ented by an ankle bracelet. Body presents large, heavy set build with obesity, normal hydration and good preservation. “There fs moderate rigor with developed posterior mid fiked Ividy of nora colt. Body's cold to touch post refigeration, ‘The:decedent is normocephalc without apparent trauma about the face or scalp. The bones ofthe forehead, nose, cheeks, and jaw are intact to palpation. Head is covered by short, wavy, brown halr with receding anterior hairine and without balding. Face Is pale and shaven with brown mustache. ‘There is average body hair. Eyes are closed with edematous bulbar and palpebral conjunctivae and without ache noire. Cataracts are not identi. Arcus senils ae absent, Sulbar conjunctival edema is absent. rides are brown with white sclerae. Pupils are equal at 8 mm. Orbits appear normal. The ears are well-formed and symmetricalPage sot 2 and the external auditory canals are without discharge. The nose is YelMformed and symmetrical. The extemal nares are patent and without hemdrrhage. or discharge, The lips are intact. The mouth contains a smell. amount of seromucous secretion without obstructing materials or lesions. Olal cavity presents natural teeth with good oral hyglene characterized by absence of caries. ‘The buceal mucosa is pink and stows no signs of trauma. ‘The neck is symmetrical. There is no palpable orepitus or hypermobility. The trachea Is palpably straight and in the midline, The chest is symmetrical and with palpable orepitus and without bony deformity. The male breasts are small and soft without palpable masses, skin retraction, or nipple discharge. The abdomen ‘appears moderately prottuberant and depicts open lapartomy incison with vacoum dressing. Upper and lower extremities are equal and. symmetrical presenting cyanctio nailbeds without clubbing. Edema is absent. There are no fractures, injuries, deformities or amputations present. There are-no defensive wounds. The soles of the fet are soft and without calluses. There is no palpable ‘cervical, axillary, or inguinal lymphadenopathy. The. posterior trunk shows a syinmettical external contour and the spine appears straight. Exit gunshot wound of back ie absent. The anus ie closed and atraumatic. The skin shows no irregulanty, External genttalia present descended testicles wilh circumcised penis. SCARS: None ‘TATTOOS: Four including: 4. Acrescent moon with face. 2. Two skulls along right upper back. 3, "Slayer" along right lateral arm. 4, Anemblem along right dorsal forearm. High Velocity blood back spatter is absent. There is absence of visible ‘gunpowder on hands or wrists. DESCRIPTION OF GUNSHOT WOUNDS: Wourid No 1 Wound No 1 is located along right chest, just above the nipple, 65 inches above the right heel and 6 Inches right of the anterior midline. The wound ie circular, measuring 2/8 inch in diameter with marginal abrasion slightly more aocentuated along the superior border with the inferior border undermined, The woundPage 7 of 2 505808 ‘anda Tab WADDEL presents no visible soot or powder tattoing. A muzzle Imprint Is absknt. The, ‘wound is consistent with an entry gunshot wound, ‘Subsequent examination and autopsy reveals that the bullet has tunneled within the soft tissue of rigt chest wall, entering the chest cavity through the inferior order of 10" anterior rib and the underlying intercostal space, traveling in a frontto-back direction, downwards and right-to-left, sequentially passing through ‘the righ diaphragm, the left lobe of the lover, transacting the tall end of pancreas, (grazing the adjacent epleen end lodging in the left flank below the 12" rib From thislocation, a large caliber jacketed deformed bulletis recavered. Wound No 2 Wound No 2 Is located along right flank, 50 inches above the right heel and 12- V2 Inches right of the anterior midline. The wound is an oval-shaped defect, measuring 1/2 inch by /8 inch in diameter with marginal abrasion accentuated along the superior border and lateral border with the inferior border prominently undermined, The wound presents no visible soot or powder tattoing. A muzzle Imprint is absent. The wound is consistent with an entry gunshot wound. ‘Subsequent examination and autopsy reveals that the bullet has struck the body ‘ata tangent, entering the chest cavity through the 7° right lateral rib, traveling in downwards and righttovet, sequently passing tough the ft sephragn, the lower segment of right hepatic lobe. the trall is obiterated by surgical intervention, Medical records indicate that @ bullet was recovered by the ‘surgeons and released to a police officer. ‘Additionally, there is evidence of exploratory laparotomy and hemicolectomy, rpeection of 4 portion of duodenum, terminal eum and mid segment of smal bowel as well as over-sewing branches of superior mesenteric vein. It cannot be ascertained which of the two bullets caused the above injuries. Iv, INTERNAL EXAMINATION 4. INTEGUMENTS AND NECK ‘A standard Y-shaped thoracoabdominal incision reveals a suboutenoous fat thickness of 8-4 ome at the midabdominal level. There is no evidence of hemorrhage in the anterlor muscles and soft issues of the neck.Page 8 of 12 “The carotid sheaths are intact. The anterior cervical spine Is in the: mjdline and palpably unremarkable, No obstructive material or lesions are present tthe {glottis or larynx. The hyoid bone and laryngeal cartilage are normally fofmed atid Intact without evidence of fractures or hemorthage. Larynx is comprised of unremarkable vocal cords and folds, appearing patent without foreign material, ‘and Is lined by edematous membrane. Epigiotis is a characteristic plate-like structure without edema, trauma or pathological lesions: 2. SEROUS CAVITIES “The chest wall Is interrupted by the passage of the bullet with fractures of 10" right anterior and 7" right Iteral ribs, There are no stemal or clavieular fractures. ‘The mediastinum is in the midline, The pericardial sac is Intact contains and normal amount of serous fluld presenting glistening, smooth surfaces. The parietal ploural eurfaces are glistering and smooth without adhesions. There is no pleural fluid, Right-sided tube thoracotomies are noted as described above. ‘The domes of the diaphragm ere at the fith rib bilaterally. Diaphragm is lacerated x 2, Omental and mesenteric fat Is abundant. The petitoneal surfaces are listening arid emooth and interrupted by surgical intervention and insertion of abdominal drains as noted above, The ofgans occupy thelr usual postions. There Is no ecollosis, kyphosis or lordosis present, & CARDIOVASCULAR SYSTEM Heart weight: 493.2 oms. ‘Left ventricular wall thickness: 21 ems. Fight ventricular wal thickness: 0.5 oms, Gireumference of aortic, mitral, pulmonary and tricuspid valves: 7.5, 11, 7.5 and 12.0ms. “The heart is slightly enlarged and located in its usual postion in the left chest, with its apex pointing to the left (normal). There is a normal amount of eploardial fat. The epicardial surface is gistening and smooth. The atrial chambers are not dileted, Both the Interatrel septum and interventricular septum are intact. The atrioventricular connections are present, and the leaflets of the altloventricular valves are thin and delicate, The chordae tendineae are thin and pearly gray. ‘The papillary muscles are normal and reveal no tears or scars. There is mild left ‘ventricular hypertrophy without cllatation. The myocardium fs beet, fm and red~ ‘brown, and on sectioning revesis absence of acute or healed Infacts. ‘The endocardial surface is smooth without thrombi or inflammation. The outfiow tracts are widely patent, and the semilunar valves each contain thres thin.anid delicate cusps, The pulmonary artery is of appropriate caliber and configuration; itsPago 9of 2 in their normal anatomic location and lead into widely patent corothary arteries ‘without significant atheromas. The coronary arteries course over the sutface of the hear in the usual fashion, Right dominant coronary artery circulation is noted. ‘The ascending eorta Is of the usual caliber arid arches ‘normally before descending along the left side of the vertebral column. The major arteries arise from the aortic arch and descending aorta in the usual configuration and are patent. The intimal surface of the aorta Is smooth. The venae cavae and other Ima yeine are patent and tin walled. There sre no congonta! anomalies Identified, 4, PULMONARY SYSTEM Leftand ight lungs: 1856.7 gms. “The lungs collapeed and reveal the usual numberof lobes and fissures. Both the lungs appear severely congested and moderately edematous and on sectioning frothy edema ‘luid oan be easly expressed. The visceral pleural surfaces are slighty opaque with a small amount of anthracoto pigment. The parenchyma is ‘2nd pale red with prominent contusior of anterior sutace of right iower ibe. “There are no pulmonary lacerations. Air epeces ate not enlarged. There are no gross pnetimonic lesions or abnormal masses present. The tracheobronchial ree Contain large amounts inspissated frothy edema fluid without aspitated gastric contents, The pulmonary vessels are patent revealing no evidencé of ‘hromboembol. 6. GASTROINTESTINAL SYSTEM ‘The esophagus courses inthe usual fashion to enter the stomach and is tned by romal mucosa. The squamocolumnar junction is well demarcated “without terosions or varices. The stomach is devold of food particles. Gastro mucosa is intact with tll rugal folds with pliable wall. The pylorus is normally contracted. ‘There fs no evidenge of gastis or gastric ulcers. Hemicolectomy is noted along with resection of 4 portion of duodenum, terminal feum and mid segment of Small bowel, Mesentery fs hemorrhagic and there is evidence of over-seving branches of superior mesenteric voin. The appendix is retrocecal and not inflamed, The colon contains formed brown stool and is of generous calber. No focal mass lesions are identified throughout the gastrointestinal tractPage 10.012 sossos, anda Tor WADDEL 6. HEPATOBILIARY SYSTEM AND PANCREAS Ler 2120ms, Pancreas: 138.8 gms. ‘The fiver presents a sharp anterior margin with smooth glistening surface. The parenchyma Is deep yellow due to prominent fatty metamorphosis and slightly firm, Intrahepatic ble ducts and vessels are patent. Massive trauma Is noted with a laige stellate through-and-through laceration of left lobe rheasuting 8-o1ns in diameter as well as @ second larger throughrand-through laceration of right hepatic-lobe measuring 12-cms in diameter with Infltating hepatic parenchymal hemonthage. The gallbladder is present and contains approximately 20 mL of viscid green bile. The wall is thin and pliable with reticulated intact mucosa. The ‘ommion bile duct is patent and drains into the duodenum. Theré are no calcul present. ‘The pancreas Is transacted near the tail-end with infiltrating hemorthage and there are eurgicel sutures noted. The parenchyma inthe infact segmont has @ fim, pink-gray with minimal fat inthe tall The pancreatic ducts are ofthe osual caer. 7. GENITOURINARY SYSTEM Loft kidney: 171 ems. Aight kidney: 109 gms. ‘The kidneys are located in their usual retroperitoneal position and have capsules that strip with the usual ease to reveal smooth, pale, pink surfaces. The parenchyma Is pink-brown with clearly demarcated corticomedullary junctions. ‘The corlex has a thickness of &-9 mm. A minimal amount of peripelvic fat is present. The collecting systems are not diated. The renal columns of Bertin ‘extend between the well demarcated pyramids and appear unremarkable. The medulla presents normal renal pyrarnids with unremarkable papillae. The pelvis ‘and ureter are patent and not dilated. Their mucosa is smooth. The Urinary bladder is lined by intact mucosa and contains na urine. External genitalia present a circumcised penis without hypospadia, epispadias or phimosis, There are no Infectious lesions or tumors noted. The descended testicles are of normal size encased within an intact arid unremarkable scrotal ‘sac and on palpation abnormal masses or heinias are not present. The prostate Is of normal size and shape and sectioning presents normal two lateral lobes withatte ‘siees6 anda Taps WADDEL thin median lobe forming the floor of the unremarkable urethra. Thal are no ‘gross pathological lesions, 8 LYMPHORETICULAR SYSTE! Spleen: $10 gms. The thymic tissue Is Ill defined with its parenchyma largely replaced by fat. The epleen presents @ smooth, Intact capsule except for the inferior lateral region where there is grazing wound and focal splenic hemorrhage. The splenic parenchyma is dark red, The follicles are small, and trabeculae are delicate. ‘There is no lymphadenopathy. The mediastinal lymph nodes which are soft and blaok. Other lymph nodes are small and gray. Rib and vertebral marrow is red, moist, and ample. 9 ENDOORINE SYSTEM “Thyroid gland ie of symmetie, red-brown and fim presenting two well-defined lobes with connecting Isthmus. There are no goltrous changes or adenomas present. Adrenal glands are of normal size end shape and sectioning present {rose pathological lesions, Pituitary gland is encased within an intact sel turcica and presents no gross pathological lesions. 40. CENTRAL NERVOUS SYSTEM Brain: 1345 gms (unflxed). Reflection of the soalp reveals no evidence of contusions of lacerations.There ‘are no subgaleal hemorrhage or hematomas identified. The underlying calverium Is intact and normal in thickness. The dura is intact other and its inner surface smooth and glistening. The dural sinuses are patent. Serial cross-sectioning ‘through the superior sagittal sinus reveal no antemortem thrombus. Both the left and right cerebral hemispheres ere.essentialy equal in size and the pattern of gytl and sulci is within normal limits. There is no shift of the intethemispheric fissure. Moderate-to-severe cerebral edema 1s noted. The piarachnoid is regularly transparent. On the undersurface of the brain, the unc! ot Cerebellar tonsils reveal ebsenco of pressure markings. The olfactory bubs are present and the optio nerves are well myelinated and of equal size. Both the mamilary bodies and brainstem appear normal and the cerebellar hemispheres ate of normal size. The Circle of Wils is patent without atherosclerotic narrowingPage 12012 00098 anal Tape WADDEL cr thrombosis. Berry aneuryeme are not identified, Multiple coronal sections of the cerebrum show an intact cortical ribbon, of -eppropriate thickness. The internal architecture shows the usuel pattern without. focal ‘lesions or hemorthage. The ventricular system is of appropriate configuration and size containing clear cerebrospinal uid with delicate and unremarkable choroid plexus. The fourth ventricle Is unremarkable. Transverse sections of the brainstem show unremarkable basal ganglia, midbrain, pons, ‘medulla, and cerebellar hemispheres. Weltpigmented substantia nigra and locus caeruleus are noted. Sections of the cerebellum show prominent inferior olivary nucle! and the hemispheres present the usual follar pattern and normal appearing dentate nuclei. Spinal cord Is noted examined. 14 mL of aortic blood, 12 mL of femoral vein blood and 7 mL of vitreous and 15 mL of urine for toxicology. Representative tissue sections in formalin. 44 digital exam photos. Blood card. Four X-Rays of head, chest and abdomen. Fingerprints and Paimprints, ‘SEM stubs for gunpowder residue. Criminalistic Evidence including: a. Pulled scalp, facial and pubic hair. b. Blood card. ©. One (1) large caliber jacketed deformed bullet. 8. Clothing items: None. PNomaeD ioc Ecen nw 262015, ee Conin ne 4 215 Sams sine 28 ‘ipa, 208 SepForensic Toxicology Results, fies of Cher Medel Examine ‘oriealogy Laboratory Server 20 Flies Gents Pace For Worth, Texas 75106 ea Tabor Wadd. ove Number: 1508898 ‘Tonleology Work Nome: 1501862 ‘Wiamesrwanl MD, DABEP ‘Chet Medial Beaiper Reber cost, PLD, DABET ‘Chie Teicloge eevee Regus Number 003 Spscinen Dre Rest | Droz Amount | Tatrament Usd | Performed Femoat aad [iia Fomrive_|—sitega | Gora wacom “Yireoas Hao? | Bast postive | 0.12 fa | corr Tecate ‘AORTA BLOGS | Ampletonioe BSA ‘NEGATIVE ‘SLish |B. LANDRY ‘RORTA BLOOD | Metisepistnise ELSA | POSTIVE. ELISA—[ LANDRY ‘RORTABL000 [THC ELISA. NEGATIVE ELISA [BLAND ‘AORTA BLOOD [Opiate LIS ‘NEGATIVE EEEA [6 LANDRY ‘ROREA BLOOD —[ Cosine ELISA NEGATIVE ‘usa |B. LANDRY ‘AORTA BLOOD | Benzodizeine EIST NEGATIVE ‘BLISA |B. LANDRY ‘RORTA BLOOD | Oxyeodone ELISA ‘NEGATIVE: LISA —[B- LANDRY ‘Sonra Rison —[ Aen ‘ecus — To waieeta FEMORAL BLOOD _| BpheiaePoadanpbelian | rOstive | —230aa/at GMs [Te HAZARD FEMORAL BLOOD METHAMPHETAMINE | NBGATIVE avs [HAZARD Approved By: Approved Date