|
The
Article 32 investigation was called to order at 0856, 14 June 2007.
IO:
This hearing is called to order.
Ms. E.
A. Rouse, U.S. Air Force, was called as a witness by the prosecution,
was sworn, and testified as follows:
DIRECT
EXAMINATION
Questions by Major Erickson:
Q.
Ma'am, could you please state your full name and spell your last for
the record.
A.
Elisabeth Rouse, R-O-U-S-E.
Q.
Ma'am, you were currently a Lieutenant Colonel in the United States
Air Force?
A. Yes,
I am.
Q. And
you are on active duty?
A. Yes,
I am.
Q.
Where is your current assignment?
A. I am
currently assigned to the Uniformed Services University of Health
Sciences in Bethesda, Maryland.
Q. What
is your primary duty there?
A. I am
an assistant professor of pathology.
Q. Give
the IO an idea of what exactly is pathology.
A.
Pathology is the portion -- aspect of medicine, the study of disease
both in the hospital and in the forensic arena, which is my area of
speciality, but all areas diagnosing disease states from tissue and
body fluids, both in the laboratory as well as biopsy samples in the
hospital.
Q.
Besides being a professor of pathology, are there any other duties you
perform while you are there?
A. Yes.
I am a Regional Medical Examiner from the Armed Forces Medical
Examiner's office.
Q. What
are some of the duties of a medical examiner?
A. The
Armed Forces Medical Examiner's office has the jurisdiction over all
cases that fall under federal jurisdiction. We investigate medical
legal death investigation of members of active duty and other
individuals that fall under federal jurisdiction.
Q. And
as a medical examiner, do you perform autopsies?
A. Yes.
Performing an autopsy is the major portion that the medical examiner
performs, along with the other duties as well.
Q. We
have already entered your curriculum vita into the record. So we're
not going to have to go through your whole educational history. There
is one thing I wanted to ask you about. That is your residency. Where
was your residency at?
A. I
did any residency in San Antonio at Wilford Hall Medical Center and
Brooke Army Medical Center in anatomic and clinical pathology.
Q. Who
was your mentor while you were there?
A. At
that time that was general pathology. I think you are referring to my
fellowship.
Q. Yes.
A.
Which was the year following in forensic pathology, Dr. Vince Dimiao.
He is the chief medical examiner of Bear County.
IO:
Ma'am, we are recording this. And we're going to have to transcribe
it. You are speaking a little fast, especially for these type of
words. Maybe if you slow down a bit.
WIT[LtCol Rouse]: Certainly.
Questions by Major Erickson continued:
Q. With
regards to your forensic pathology fellowship, what did they entail?
A. A
fellowship is a year or more of training after residency. And it is an
area of specialty within the field of pathology. I did my fellowship
in forensic pathology, which is that area of pathology dealing with
public interests and the law, cases that are public interest to be
investigated for determining the identity of the deceased, cause and
manner of death, and to be an integral part of the medical legal
investigation for law enforcement and other parties.
Q. Now,
with regards to forensic pathology, how long have you been in that
field?
A. I
did my fellowship in the year 2000 to 2001. And I have been a regional
medical examiner since that time. For three years, I was the first
chief deputy for the Armed Forces Medical Examiner beneath the Chief
Medical Examiner, and doing forensics full time. The other years, it's
been an additional duty.
Q.
During that time period, about how many consults have you performed?
A.
Consults? Well, consults are involved in many ways. We review other
peoples' cases, we co-sign cases, we also get cases where there is not
an actual autopsy but they are just reviewing the investigation and
the report. And at this point, that would number in the several
thousands.
Q. How
many autopsies have you performed?
A.
Approximately a thousand.
Q.
Ma'am, do you remember when you were first asked to be a consult on
this Haditha investigation?
A. Yes,
I do.
Q. When
was that?
A. I
would have to look back at the notes. We were contacted by NCIS. I
travelled to Tampa Florida to review the information they had. I would
have to look at my notes to get the month and year.
Q.
That's fine. Do you recall if there was any autopsies performed in the
Haditha investigation?
A. No,
there were not.
Q. So
you were called on as a pathologist. You did a pathology consult on
that case?
A. Yes.
I reviewed the material that was available to the investigators at
that time.
TC[Maj
Erickson]: Permission to approach, sir?
IO: You
may.
TC[Maj
Erickson]: I am handing the witness what has been marked as
Investigative Exhibit 56. Ma'am, if you could please, turn to page --
and the page numbers are – if you see the bottom of the page, it say
"Investigative Exhibit 56." And it will say "page 1 of 9." I want you
to turn to page 7 of 9.
WIT[LtCol Rouse]: Yes.
Questions by Major Erickson continued:
Q.
We're going go through this document for the IO. Does this document
look familiar to you?
A. Yes,
it does.
Q. What
is this document?
A. This
is a consultation report I prepared for the NCIS investigators to
assist in their investigation.
Q. If
you go to page 9 of 9. Is that your signature?
A. Yes,
it is.
Q. Back
to the first page of that exhibit -- sorry, page 7of 9. Can you tell
us what in particular this pathology report addressed, which incident
this addressed?
A. This
was designating the site that had been designated by NCIS as house
number 4. I would have to refer to other paperwork to give you the GPS
location of that house. But that was by all accounts labeled house
number four in Haditha City.
Q. And
house number four involved the death of what? Do you remember?
A.
There were four males that were killed by reports. And I have the
names that were given to me of those individuals as well as the
reported ages.
Q.
Throughout the report, how did you refer to each one of those?
A.
Initially, at the top part of the report, I state their names and
reported ages. Photographs were reviewed. And numbers had been written
on the forehead or hands or upper body parts of some of the
individuals. In this case, I believe all four were numbered. It is
numbers 21 through 24. So I referred to those victims by the number
that was written on the body.
Q. And
those numbers you got from those photos?
A. Yes.
That was with reviewed photographs.
Q. And
you didn't perform autopsies on any of these four individuals?
A. No.
Q.
Ma'am, you stated earlier that you went down to Tampa, Florida to
review all the stuff the investigators compiled at that point. Give
the IO an idea of what you were working on.
A. They
had put everything together in a large notebook that had tabs,
photographs, Iraqi death certificates that were translated, some
interview statements of the Iraqi -- primarily, Dawoud translated
statements by that individual, and then a collection of death-scene
photographs that were taken. I was told by the Marine Corps Human
Exploitation Team members and other sources. There was also some video
footage that was reviewed at the Haditha morgue.
Q. To
your understanding, did Dawoud interpret a portion of the stuff you
are reviewing? Who is Dawaad?
A. I
would have to look back at exactly who he was. He was an Iraqi
national that I believe was present. I would have to look at the
report to his exact status. Like I said, the Iraqi death certificates
and medical records that were all translated.
Q. Now,
if we go through your report and you see item number four in page 8 of
9.
A. I'm
sorry. Can you --
Q.
Sorry, page 8 of 9, if you look at item number four at the bottom of
the page.
A. Yes.
Q. It
says "evaluation of Iraqi death certificates translated." What
information did those death certificates provide to you?
A. When
I examined those, they were translated to English. The original
documents would have been in Iraqi. And they indicate various
spellings of Iraqi male names and their ages, I believe, and
designates a cause of death as all having been shot, or shots plural,
in the head, which in this case is consistent with the photographic
evidence.
Q. The
first page you report, again, page 7 of 9, item paragraph 2, materials
reviewed. Let the IO understand exactly what these materials review
were. The NCIS forensic briefing folder is particularly what I'm
concerned with.
A. That
is a large three-ring binder where they compiled and collated all the
material that they felt would be relevant for my review. Copies of the
photographs were in there on photographic paper and not digital
images, as well as typed statements -- like I said, the translated
death certificates, the statements from the Iraqi morgue, and some of
their initial provisional reconstruction that they had at that time.
Q. Now,
in paragraph 2, it also says "Iraqi medical reports translated." Do
you recall if this particular house had any Iraqi medical reports?
A. I
would have to review. I don't recall medical reports on these victims
that was reviewed for the whole -- that folder had all the events in
Haditha. It was not specific to house four. So the entire packet was
reviewed looking at all cases.
Q.
Again, you already told us paragraph 4 was the evaluation of Iraqi
death certificates. If there were Iraqi medical reports, would you
have referred to them in this report?
A. Yes.
I was trying to -- Particularly in other houses -- trying to match up
by name and age and gender who different victims were. So I was
referring back. I would have to look at that again to be certain that
there were not medical reports on these four victims. But I don't
recall that being contributary.
Q.
Ma'am, I am not going to have you recreate your analysis of every
photo you saw, but I am going to show you four photos.
TC[Maj
Erickson]: Sir, with your permission, I am handing the witness
Investigative Exhibit 61, 62, 63, and 64.
IO:
Okay.
Questions by Major Erickson continued:
Q.
Ma'am, if you start on paragraph 3, page 7 of 9 in your report, it
says "examination of the photographs." You did a forensic pathology
consult based solely on reviewing the photographs and written
documents. Is that true?
A. Yes.
Q. And
is that normal in your profession?
A.
Ideally in the majority of our cases, we would perform an autopsy, we
would examine the scene, it would be a complete investigation. There
are certainly times when we are reviewing situations either where the
autopsy report -- the autopsy was performed some time ago, so we're
looking at reports and available photographs. There are occasions
where a body is not available for an autopsy examination. So at those
times, we would review what is available.
Q.
Throughout your report, you make reference to terms like stippling,
intermediate range, terminology like that. Give the IO an idea of what
stippling is.
A. When
testing range of fire for gunshot wounds, there are certain
interactions. We're looking at the distance of the firearm from the
victim. If the broad category are contact where the end of the firearm
is in direct contact with the skin of the victim, loose contact, close
contact where you are slightly away, and then intermediate is the
range from inches to several feet where products of combustion impact
the body. And there is material and changes in the body from that
interaction where we can appreciate.
Once
you get beyond several feet, we call it a distant or indeterminate
range because we cannot ascertain the difference between, for example,
5 feet, 15 feet, 30 feet, because at that point, just the projectile
is interacting with the body. No other products of combustion or
discharge from that weapon are going to interact with the body.
Q.
Ma'am, are you familiar with the range in which stippling or gunshot
residue would deposit on a body for a 9-millimeter handgun?
A.
Ranges vary with each weapon and the ammunition condition of the
weapon. But there are well established ranges beyond which material
would not be deposited.
Q. What
is that range?
A. In
general rules, contacted persons where there is a certain point of
contact, actually soot is deposited. Stippling is where there are
actual abrasions on the body that does not wipe off. Soot wipes off.
The stippling is where certain particles actually hit the body and
cause small abrasions. If the weapon is close to the body, those will
be in a very narrow, tight range. As the firearm moves away from the
body or that distance is decreased, the stippling broadens and those
particles no longer hit the body.
Q. So
if I say intermediate range, what is that range?
A. The
general range is from, like I said, probably six inches -- typically
six to about 18 or 24 inches. Some stippling with some weapons may be
a few inches further. Tests can be performed on a firearm to get an
exact range.
Q. How
about an M-16 rifle?
A. That
would be similar. Again, you are talking about the end of the firearm,
not the person operating it, which would be different, like, from the
end of the weapon. Like I said, intermediate in general is six to
eight inches probably to 24 or 36.
Q.
Ma'am, how many consults have you been involved with that included an
M-16 service rifle?
A. I
would not be entirely sure. Certainly over – since the Iraqi conflict
began, we do autopsies on all active duty service members that are
killed in conflict. Not many have M-16 wounds. Certainly, there are
AK-47s and other high velocity, cylinder-type weapons. M-16 rounds
would be slower, but I have certainly seen cases. I really couldn't
give you a number.
Q.
Would you say it is more than ten?
A. I
have seen more than ten cases, probably less than 50.
Q. How
about a 9-millimeter?
A. That
in certainly, particularly in the civilian sector, is a more common
weapon. So that is something I have seen in my training. I have seen
civilian cases in San Antonio. Certainly 9-millimeter wounds were
fairly common. And in the military, again, M-16s and 9-milimeters were
commonly suicide cases where service members are using their own
weapons. So several hundred, certainly.
Q.
Again, I want to make sure we get all the terms that I didn't know
what they meant and I had to ask you. So on page 7 of 9 if you look at
the second to last sentence on that page, the second to last line
where it starts with "his eyes just to the left of midline." What
exactly does that mean "left of midline"?
A. When
we're doing an autopsy report or forensic photographs, to orient as
we're giving a description of the injuries, we use what we called
standard anatomic position. So that is the body of the person
outright, laying flat, front or anterior. Then we use midline, which
would be a line right from the center down the nose. And that would be
anterior midline.
If
we're talking about hands or legs, we also use midline just as a
reference point. When you are performing an autopsy, you like to give
several different discrete reference points and measurements so you
can get a three dimensional localization of where exactly that defect
or injury is on that person.
So this
is in reference to the midline and then the left of that individual.
Q.
Okay, ma'am. I am going to ask you to look at Investigative Exhibit
61. It is the first picture I handed you.
A. Yes.
Q. Have
you seen that picture before?
A. Yes,
I have.
Q. Is
this person referenced in paragraph 3A of your report?
A. Yes,
if you look on his forehead in red, the number 21is written. I refer
to him as victim number 21, paragraph A of bullet 3.
Q. You
mentioned he has at least two gunshot wounds in your report. He has at
least two gunshot wounds to the head with one entrance gunshot wound?
A. Yes.
Q. In
this photo, can the IO see where you are referring to two gunshot
wounds?
A. It
is difficult to see in this photograph due to the copying of it and
the actual -- a glossy -- a digital photograph would be easier to see.
What I am referring to is between -- basically, between his eyebrows
just below on the bridge of his nose, there is an entrance wound. Like
I said, in this photograph, it is hard to delineate, at least my copy
here. And that the nature of that defect -- circular defect with an
abrasion leading from it would indicate an entrance gunshot wound.
Over his left ear, the left part of his head is an exit wound.
You can
slightly see it in this picture. With that entrance, the defect --
again, it is difficult in this picture and with the carpet. But back
in the ancipital region, there is an apparent exit wound with some
brain matter. Like I said, this photograph you can just barely see it
on the left towards the back of his scalp.
That
would be a defect coming in just medial – medial being towards the
center, lateral towards the edges -- medial to his left eye on his
nose exiting the back of his head.
Then he
also has a large gaping exit wound of the left side of his head, which
is sort of in where his ear had been. We don't see the entrance for
that defect. It is not visualized in this photograph.
Q.
Ma'am, in your report, you said there is no soot or stippling
surrounding this wound or any of the wounds on this particular
individual?
A. That
is correct.
Q. With
the absence of soot or stippling, can you determine a range?
A. We
would call that an indetermined or distant range, meaning it is
greater than several feet.
Q.
Ma'am, if I could direct your attention to the gentleman's left hand
laying across his chest.
A. Yes.
Q. Do
you see his left middle finger?
A. Yes.
Q. What
is that?
A. That
appears to be a fragment of tissue, most likely bone. It is very
square. The edges are square to rectangular, which bone, when it
breaks up skull fragments, tend to often get that cubed fragment. It
could be other biological material, brain matter. Like I said, the
edges are very square and seems to be resting upon that finger.
Q. Did
you consider whether or not that was a defect?
A. We
certainly did. If he had a defect of the finger, you would actually
have a loss of tissue, a blowing apart. It wouldn't have the square
geometric edges that that has.
When
you look at the photograph, it really appears to be resting on top of
it. There is some slight shadowing beneath it like it's actual tissue
on top of that hand rather than a defect in the finger itself. A
gunshot wound wouldn't be very circular in shape. This is a very
square fragment.
Q.
Ma'am, I am going to ask you to go to another photo, which would be
Investigative Exhibit 62. That is the individual identified in your
report in paragraph B.
A. I am
having a little trouble with this photograph. Is he 22 or -- yes, he
is 22. Yes, that would be B.
Q.
Ma'am, once again, in this photo, you observed no soot or stippling
either. Correct?
A. Yes.
Q. And
in any of the photos that you looked at during your consult, did you
see any soot or stippling in this particular?
A. On
these four victims, I do not believe any had any evidence of soot.
Q. So
is distance of the shot, was that able to be determined with this
victim?
A. I
would assess them all as indeterminate or distant range of fire.
Q. Now,
ma'am, in the first victim that we looked at in paragraph A and this
victim in paragraph B, could you determine what caliber weapon fired
the bullet wounds in these victims?
A. Not
without examination of the body and the scene and actually looking at
the tissue and the wounds. From the photographs, I would not make that
determination.
Q. That
is why there is no determination in your report with regards --
A.
Exactly.
Q. I am
going to ask you to go to Investigative Exhibit 63. Is this the person
you referred to in paragraph C of your report?
A. Yes.
Q. Once
again, we have no range with regards to this victim?
A. Yes.
In this photograph, it is difficult to truly appreciate much about the
apparent defect. But there does appear to be blood and a dark area. I
refer to it as the entrance wound and blood from his ear. But we're
not visualizing the actual defect as well as some of the others.
Q. And
you couldn't tell which caliber weapon was responsible for this
particular gunshot wound?
A. No.
Q. The
last one I will have you look at is Exhibit 64. I think this is the
person you referred in paragraph D of your report.
A. Yes.
Q.
Ma'am, were you able to determine what caliber weapon fired this shot?
A.
There is another photographs -- the other photographs that show this
victim's defects -- from this angle, this photograph we're primarily
appreciating the exit wound, which is the large gaping defect of the
left side of his head and forehead. Another shot shows the entrance
wound. And his entrance wound would be what we call an atypical
entrance wound.
When a
projectile goes through what we call an intermediate target going
through something else, the properties of that projectile travelling
through the air and how it interacts change. The bullet begins to
tumble. It interacts, may deform. And then when it impacts the body,
that entrance wound will have slightly different features, and
sometimes their range and how atypical that appears. And his was an
atypical wound consistent with some sort of intermediate target. So
the fact that it appears atypical, I again would not speculate on the
actual caliber of the projectile.
Q. So
if a bullet were to pass through a door before it hit a person, would
that make it atypical?
A. Yes,
it certainly would; it certainly could.
Q. What
did you think with the large expulsion of brain matter and skull on
this victim? Did that --
A.
Certainly, that would favor a high velocity. Again, without the range
and examining the scene, I would back off on making a very definitive
statement.
Q. Did
you have anybody look at your work prior to the publication of this
report?
A.
Prior to the publication?
Q. A
peer review process?
A. On
this case, since this was for NCIS, this was not reviewed. Since that
time, certainly others have reviewed it.
Q. Who
has reviewed your work?
A. Dr.
Dimiao has.
Q. And
does Dr. DiMaio have any experience in gunshot wounds?
A. Yes,
he does. He has extensive experience, including the author of the
primary text on gunshot wounds as well as text in forensic pathology.
I think he would be considered most likely -- certainly the United
States expert, if not the world expert, in gunshot wounds.
Q.
Going back to Investigative Exhibit 61, that middle finger of the left
hand of that victim, what was Dr. DiMaio's opinion on whether or not
that was brain tissue?
CC[Mr.
Myers]: I know I can't object. But this is an attempt to boost by
using an out-of-hearing expert. I think that is not a good idea
generally speaking. I just want to alert the IO to that fact.
IO:
Thank you.
WIT[LtCol Rouse]: He concurred that it was most consistent with
tissue.
Questions by Major Erickson continued:
Q.
Ma'am, as you sit here today, have you received any other additional
evidence with regards to this particular incident?
A. I
believe some -- I don't believe any additional photographs from house
four have been received. I have seen some additional photographs from
that initial packet. But I do not believe any were pertaining to house
four.
Q. Have
you received any evidence or any material that would change your
opinions in this report?
A. Not
to this point, no.
TC[Maj
Erickson]: Thank you, ma'am. Defense will have some questions for you.
CC[Mr.
Myers]: We're going to need a little set up time, if I could, sir.
IO: I
will just ask a couple of questions.
CC[Mr.
Culp]: Fair enough. Sure.
IO:
Then we will take a break and get you set up.
EXAMINATION BY THE INVESTIGATING OFFICER
Questions by the investigating officer:
Q. If I
am to understand your testimony at this point, Colonel, it is that you
believe, based on your photographic examination, all these individuals
were shot from a distance of more than 24 inches?
A. Yes,
sir.
Q. And
that's why the lack of stippling is significant in your findings?
A. Yes.
With a correct that other objects that come in between the projectile
and the body can block the stippling, even clothing. So you can have a
closer range of fire if there is an item that blocks that sort of
stippling from entering the body. The majority of these are on the
head that we visualized. Certainly, all victims could have be more
defects that are not visualized in the photographs. But unless there
was cloth or something over their head at that time, it would block
the soot or stippling. These would all be classified as indeterminate
range or distant range gunshot wounds.
Q. In
reviewing the information you provided in addition to these
photographs, was there any indication that there were these wounds on
these individuals that were not to the head?
A. I
can only speak from the photographs that I saw. I do not believe --
the Iraqi death certificates indicate shot or shots to the head.
Certainly in an autopsy, we would remove the clothing, do a full
examination, external, internal of the body. Without that information,
I can't --
Q. So
you had no information of an examination of these individuals beyond
the injuries that are obvious in the pictures to the head?
A.
Correct.
Q. It
may seem obvious, but these injuries that are shown in these
photographs, exhibit 61, you describe two different injuries to the
head.
A. Yes.
Q.
Would you be able to determine with any medical certainty whether one
of those injuries would have been a fatal wound?
A.
There appears to be brain matter from both defects, which certainly --
when a gunshot wound to the head enters the brain cavity and there is
expulsion to the brain, there is a high degree of lethality with that.
Q. So
it would be your medical opinion that either one of those wounds would
have been a fatal wound?
A. Most
likely, yes.
Q. Last
question, just for my own identification. When you say left of the
midline of a person, is that as you view them or on the person's body?
A. On
the person's body.
IO:
Let's take a break. And I will let the defense set up their
presentation.
The
Article 32 investigation recessed at 0930, 14 June 2007.
The
Article 32 investigation was called to order at 0950, 14 June 2007.
IO:
This hearing is called to order.
CROSS-EXAMINATION
Questions by Mr. Myers:
Q. I
would like to examine some foundational questions with respect to your
examination of what date was made available to you. Did you have an
opportunity to read the entire report of forensic reconstruction done
by the NCIS?
A. At
that point, when I initially began my review, it was a provisional
reconstruction.
Q. Now,
as part of your examination, were you made aware of the fact that the
Iraqi members of the family who survived reported finding 11 shell
casings in and about that area?
A. It
may have been mentioned in one of the reports I read.
Q. And
that those shell casings were both 9-mil and M-16?
A. I
recall hearing both were found in that area.
Q. Were
you made aware that the one person who examined the body most
proximate in time to their death reported that there were in fact
torso wounds?
A. I am
not aware of that reference.
Q. The
autopsy from the hospital in Iraq, do you know if that death report
was in fact an autopsy?
A. I
was not aware of any autopsies being performed on these victims -- or
at least I have not seen any autopsy reports or autopsy photographs.
Q. Did
you know or did you inquire as to whom actually performed that
examination at the hospital?
A. I
would have to look at the records I have as far as who filled out the
Iraqi death certificates.
Q. Did
you attempt to speak with anyone associated with these death reports?
A. Not
with the Iraqi death reports, no.
Q. You
say that you relied in part upon these reports. But what you relied
upon was merely their written conclusions?
A.
Predominantly, my opinion is based on the photographs. But I read the
available information.
Q. But
facially, it appears as though the Iraqi reports served to exclude
torso wounds. Would you not agree with that?
A.
There is no mention of torso wounds in the Iraqi death certificates
that I examined. I cannot speculate how complete their examination was
as far as being inclusive of all the injuries or not.
Q. With
respect to soot or stippling, what you have testified to, I believe,
and correct me if I am wrong, is that the soot or stippling must have
emanated from the barrel of whatever weapon was fired from a distant
greater than two feet.
A. When
I say two feet, it is a range. But approximately two or three feet
greater than that.
Q. I
simply took the outer range you provided.
A. I
understand.
Q. So
are you telling us that this would exclude a shot fired at very close
range to the forehead, as I am demonstrating?
A.
There is no evidence of that on the body. If something is between the
firearm and the body, it can block the soot or stippling. But there is
no evidence of that.
IO: As
you were demonstrating, you placed your index finger on the forehead
of your assistant.
CC[Mr.
Meyers]: That is correct.
Questions by Mr. Myers continued:
Q. And
there is, therefore, no evidence of fire taking place within zero
inches and 24 inches?
A. No
evidence in the photographs that I examined.
Q. And
believe me, I recognize the limitations of these photographs. I don't
intend to insult you on the notion that these photographs provided you
with all the information a pathologist would require. But we can say
that, is that correct, that there is no indication of that from zero
inches to 24 inches based upon the photographs that shots were fired?
A.
Correct. There is no evidence in the photographs.
Q. Now
I would like you to take a look with me at the photo that is about to
come up on the screen, which I believe is Exhibit 60. Do you see it?
A. Yes.
Q.
Would you prefer to have that document before you? Do you have it?
A. I do
not have this one.
CC[Mr.
Meyers]: I will approach, if I may. It is Government Exhibit 60, Your
Honor.
IO: The
photograph is page 10 of 60.
Questions by Mr. Myers continued:
Q. Have
you seen that photograph previously?
A. I
believe so, yes.
Q. All
right. What I would like to do is have you identify that person, which
the forensics report suggested was in the doorway of the room. Do you
see that person there?
A. I
would -- as far as the placement of the victims with the doorway, I
would have to refer to a room sketch and the other reports. The
photograph, I do not know – I am not oriented at this point that --
Q.
That's fine. I would like to examine a few points with respect to this
photograph that you have with regard to this individual who is labeled
number 22.
A. All
right.
Q. With
respect to the wound that occasioned his death, I believe you
indicated -- and I am pointing to a point below the left nostril and
approximately, on this document, about a half inch from the left
nostril and almost medial. Is that the wound you were referring to
when you referred to the entry wound in your direct testimony?
A.
There appears to be. And you can see it just below the person on his
left side. It is circular, dark defect that is consistent in several
photographs that is consistent with a gunshot wound.
Q. Is
that the wound that I just identified as being slightly to the left of
the left nostril?
A. Yes.
Q. And
I believe it was your testimony -- or did you testify -- as to where
that exit wound was?
A. We
do not see, I believe, in any photographs the back of his head.
Q. But
would you anticipate in your expertise -- within the scope of your
expertise, that a wound would be on the other side of the head, that
is to say the rear of the head?
A. Yes.
The projectile would move in a straight line, depending on the angle,
would exit somewhere on the back half of the body.
Q. And
therefore, if there was any brain matter or the like, it would be
behind him?
A. Yes.
If it perforated the head.
Q. I
wonder if you could explain to me this rather large quantity of blood
over the right torso and covering the chest cavity on the right.
A.
Certainly, if he is in an upright position when the wound is
sustained, blood could emanate from it. It also could be blood and
brain matter from other individuals around there. He also may have
wounds that are obscured by the clothing of his torso.
Q.
Forgive me. If I could just stop you there. That's the point I wish to
make. This amount of blood that we have just seen and described could
quite easily have come from a torso shot, could it not?
A. It
certainly could. If you look at his chin, it seems to be downward. And
that appears to be in a downward aspect. But there's certainly --
without examining the skin of his torso, I cannot comment on the
wounds of his torso.
Q. As
you know, when there is a torso shot that invades the lung and chest
cavity, bleeding from the mouth and nose can be precipitated virtually
instantly, can it not?
A.
Sorry?
Q. When
there is a chest cavity wound, bleeding from the mouth and nose is not
an improbable consequence?
A.
Correct.
Q. We
could easily conclude that a torso wound is associated with number 22?
A. We
could speculate, yes.
Q. Now,
I would like to turn, if I could, to the blow-up of 22. This is the
same individual on a close-up. Once again, I point to this entry to
the left nostril. Is this the one that you are referring to?
A. Yes.
That has a circular nature that is consistent with an entrance gunshot
wound.
Q. Do
you see anything here which would suggest an entry wound in this
region?
A.
There appears to be biological material. I cannot appreciate defects
in the clothing to go beyond that. There appears to be -- it appears
to be coagulated blood and biological material.
Q. It
could be, again, from a torso shot?
A. I do
not know the origin of that blood. I cannot speculate that.
Q. Can
you go back to the first photo. I would like you to take a look now at
this man's right arm. In the forearm area, what do you see there on
his right forearm area?
A.
Again, he has biological material. There also appears to be skull and
brain fragments on his arm.
Q. Is
it possible that he could also have a wound on his arm?
A.
Certainly, the clothing could obscure any number of things.
Q. All
right. Thank you very much. I would like to turn now, if I could, to
the second individual. Now this individual is individual number 21
and, as you know from the forensic report, was behind the door. This
wound of the left ear, you aren't telling us, are you, that you
believe the brain matter and disintegration of the left ear is the
result of a 9-millimeter exit wound?
A. From
this photograph alone, I cannot determine the caliber of the weapon.
Q. Let
me ask you a few fundamental questions about --
IO:
We're looking at exhibit 61?
CC[Mr.
Meyers]: Yes. It is exhibit 61.
Questions by Mr. Myers continued:
Q. The
exit wound associated with an M-16 in flight hitting the brain, have
you seen those wounds before?
A. Yes,
I have.
Q. What
is the typical evolution of the exit wound?
A. It
usually is a large gaping defect with an expulsion of brain matter and
skull fragments in an explosive type of --
Q. Have
you ever seen a 9-mil that is not an oral shot, a 9-mil from the
distance of greater than two feet hit the brain cavity?
A. Yes,
I have.
Q. And
what is, generally speaking, the result of that?
A.
Typically, it is a smaller type of a defect. However, without
appreciating the entrance, if the bullet is atypical, if it's going
through something, the characteristics change.
Q.
Well, is there anything in the forensic report to suggest with respect
to this wound that there was any intervening superseding object?
A. I
would have to refer back to the forensic report whether he was near
the door or where his reported position was. I am not --
Q. So
if there was nothing, then what you just said would be meaningless?
A. I
would certainly still say it would be more consistent with the higher
velocity. But without appreciating the entrance wound, I would not
make a determination based on this photograph alone.
Q.
Let's take a look at the finger. All right. Did anyone within your
organization or anyone who was associated with the examination of this
finger, to your knowledge -- that is to say NCIS or any other entity
who examined this photograph -- did any person conclude that the
finger was the direct result of being impacted by a bullet?
A. Not
that I am aware of.
Q.
Let's take a look at the finger. Are you aware of what Lance Corporal
Sharratt has said about the second man he encountered?
A. No,
I am not.
Q. You
haven't looked at his version of the facts?
A. I
have not read those interview statements, no.
Q. I
ask you to look up and to the right of the finger here, here, and
here.
CC[Mr.
Meyers]: I am now pointing, Your Honor, to an area that is directly
above the printing and specifically above the letter A and D.
Questions by Mr. Myers continued:
Q. Do
you see this?
A.
There appears to be some dark spots.
Q.
Well, if the man behind the door were holding and racking an AK-47,
and this bullet hit the finger and the magazine behind it, and that
bullet splintered, could these be bullet holes derived from a
splintered bullet?
A. I
would have to examine the photograph. From this quality of this image
here, I cannot ascertain whether that is dry blood. I do not see
anything that indicates there are actual defects in that clothing. So
I cannot say what those spots are.
Q. And
how do you account for the blood here on the upper-right torso?
A.
Certainly, he has extensive head trauma, which head wounds bleed
prolifically. And if he is upright for any period of time, it could
come down. Bodies could also be moved. And certainly, blood can
continue to pool and seep.
Q. And
he also could have a torso wound?
A. Yes.
Q. You
say that this finger demonstrated a geometry that is suggestive of
this flap being derived from something other than the finger itself.
Is that correct?
A. It
appears to be. I would say it is most consistent with a fragment of
the skull or biological material. It appears to be -- like I said, it
is a geometric shape. It appears to be laying on top of the finger.
Q.
Doesn't it also look like the finger is simply splayed?
A.
Again, I am going by the lines and the edge. It is a very geometric. I
would say in my opinion, it is more consistent with something being on
top of the finger.
Q. Did
you know or were you told that all of these bodies were moved between
the time they were shot and the time these pictures were taken?
A. I
know in the whole incident, a number of the bodies were moved. And
some were visibly moved between photographs. In this house, I do not
actually know the extent of movement of the bodies.
Q. But
it is your testimony that this body, if moved, somehow miraculously
retained this piece of bone on this finger?
A.
Certainly, biological material is somewhat adherent. If he is moved,
it could be his or somebody elses. It could have been projected there
from some other -- I do not know the origin of that material. It also
could be something from the --
Q. Now,
you suggested that the wound, by definition, would be circular in
nature?
A. An
entrance wound is circular in nature unless it is atypical.
Q.
Well, it is not circular in nature, is it, if the skims along the
surface of the finger and continues on?
A. Then
we call that a tangential wound. It can make a trough-type -- as we
appreciate -- it is hard to see in this photograph; but along his
nose, there is an abrasion.
Q. I
understand. But this wound on the finger is equally consistent with a
trough, is it not?
A. I
don't appreciate a trough type would be linear with a curved bed to it
where it is grooved out. I don't appreciate that in the photograph.
Q. With
respect to this individual, either the shot that causes the evulsion
of the brain or the shot that appears, I believe you said, between the
eyes. Is that --
A. Yes.
There appears to be -- and I can't appreciate it very well in the
quality of this image. But looking --
Q. But
you have the picture before you?
A.
Again, this is also a photocopy. In the original, you can see a
grooved defect consistent with an entrance gunshot wound.
Q. I
would like to now move to the next individual. This is number 23. And
it is Exhibit 63. What can you tell us about this individual?
A. He
is supine on his back. There is blood emanating from his right nostril
region going downward. And there is blood beneath his head. There is
also blood coming -- and you can see it pooling in his left ear, which
is consistent with head trauma, a skull fracture. Blood will commonly
come from the ear. And his has his right arm up-stretched over his
head.
Q. I
would like you to examine the left auditory canal. Tell me where you
can demonstrate that there is blood coming out of the left auditory
canal.
A.
There is blood pooling. You can see that blood --
Q. I
can see that blood. But where is the evidence that there is any blood
derived from the left auditory canal?
A.
Catching tangentially. It appears to be in the ear. The most likely
source of the blood on the ear would be from that ear canal.
Q. Is
there any evidence in your mind that this man was shot in the torso?
A. In
this photograph, we do not see any defects. On the other photograph,
you see some of his lower abdomen. And in these pictures, you do not
see evidence of it. Again, we're limited by the photographs.
Q.
There is, however, significant blood pooling in the torso region?
A. Yes,
on his back.
Q.
Distal, yes --
CC[Mr.
Meyers]: The region I am pointing to, Your Honor, is in the left lower
quadrant of the image.
Questions by Mr. Myers continued:
Q.
Would you agree this darkened area on his clothing is blood?
A. It
is certainly consistent with blood.
Q. Is
there another possibility that the torso was invaded?
A.
Certainly. It could also be, depending on his position, from the head,
the defect.
Q. Now
I would like to show you the last photo. That is Exhibit 64. Can you
tell us about this man?
A.
Again, he is lying on his back. He is visualized in a couple of
different photographs. He has a large gaping defect of his left
forehead and side of his head. In another photograph, we actually can
appreciate his right cheek. And those are consistent with an atypical
entrance wound.
Q. So
it is your belief that an atypical entrance wound, for example, if the
bullet -- in the forensic report, if the NCIS agent said this man was
found inside a closet, what would have caused this entrance wound to
be atypical would be perhaps the closet door?
A.
Certainly.
Q. As
the round goes through the closet door, it took on a different
configuration, entered the man, and then exited in this region where
we see the evulsion of the brain. Correct?
A.
Sure.
Q. Now,
is there the slightest possibility, ma'am -- and I say this with all
due respect -- is there the slightest possibility that this is a
9-millimeter round that caused this?
A. It
certainly -- I would say more consistent with a high velocity type
weapon. Again, when it is atypical, there are different forces
transmitted, tumbling, defamation of the bullet, and the transfer
energy is different.
Q. This
is simple physics, isn't it? This is simply how much momentum you can
transfer. And if you lose some MV when you go through the door, the MV
you got left is less. And that small round just isn't going to do
that. Guys in combat know that, don't they?
A. Not
typically, it would not do that, no.
Q. So
in recognizing, once again, with all due respect for your profession
and what you do, you really don't know how many rounds were fired?
A. No,
I do not.
Q. You
don't know where they impacted, except generally you can point to a
few of them?
A. In
some photographs, definitive wounds are visualized.
Q.
There could have been torso shots as a result of this?
A.
Certainly.
Q. And
we know for absolute certain that no one in that room was shot at a
closer range than two feet.
A. We
don't see evidence of it. Again, intermediate targets, the closet for
example, would block that evidence.
CC[Mr.
Meyers]: If I could for a moment. Thank you, Your Honor. Nothing
further.
EXAMINATION BY THE INVESTIGATING OFFICER
Questions by the investigating officer:
Q.
Ma'am, am I correct in assuming you don't read Arabic writing?
A. No,
I do not.
Q. One
of the death certificates describes the medical death certification as
shots in the head and left -- and then it uses the word is
"illegible." Would it be your experience in death certificates that if
you had shots in the head and you wanted to describe something else,
the left would indicate some other place other than the head? Or would
you normally describe the head and break it up into quadrants?
A. I do
not know what they do in Iraq certainly. Typically, if you are
designating head and something, my assumption would be that it would
be somewhere else on the body.
Q. In
reading this, one could assume that there were shots in the head. And
left means some other place if you were following grammar saying there
would be another location?
A. I
would make that assumption.
Q. The
reason I am asking -- I don't know if investigators say shots in the
head, and then they start defining what portion of head by left and
right.
A.
Typically, in the United States, we would describe for the death
certificate lethal wounds or wounds that contributed to the death,
incapacitating wounds. For example, you could say gunshot wounds of
the head and torso.
Q.
Would it be fair to say your -- at least the translations of these
death certificates would not be in the same standards as you would
expect to see on an American death certificate?
A. I do
not know anything about Iraqi --
Q. Is
it fair to say in the translations you received, the English
translations, would be less than what you would expect a typical
American death certificate identifying cause of death, there is not as
much detail you would normally see?
A.
Again, I am having difficulty answering it.
Q. You
have done investigations before?
A. Yes.
Q. And
in those investigations, have you received death certificates or
autopsy reports?
A. Yes,
sir.
Q. Do
they generally describe the injuries more than saying several shots to
the head?
A. The
autopsy report certainly should. Death certificates vary widely. They
may even say in the United States multiple gunshot wounds to the head.
Q. So
it is your experience that death certificates aren't particularly
descriptive. And autopsy are the ones you really need to work off of
if you don't have an opportunity to examine the body yourself?
A.
Certainly.
Q. So
you would not expect necessarily a death certificate to lay out all
the injuries or wounds that were on the body?
A.
Right. They would be isolating the ones that contributed to the death.
Q. In
your experience, what is a death certificate for?
A. In
the United States, it was initially intended for public health and
statistics for a recording method.
Q. And
that differs from an autopsy in what way?
A. The
autopsy report relates to the entire examination of the body, the
scene, bringing in all the background material. The autopsy is
external as well as internal examination of the body, examination of
all the organs, weights, measurements. The autopsy report would
describe everything about the body, natural disease that may be going
on which had nothing to do with the death or may have contributed to
the death, identifying marks, tattoos, scars, previous surgery. The
autopsy report would be all inclusive, everything that is found on the
body, as well as the method of identification of that person, evidence
that is collected from the body.
The
death certificate is just the demographic information about the
individual, who they are identified as, gender, age. And then the
medical certifying official, what their opinion as to the cause and
manner of death.
IO:
Counsel have any further questions?
CC[Mr.
Meyers]: Nothing, thank you.
TC[Maj
Erickson]: Yes, sir. Just a couple of things for clarification, sir.
Sir, permission to approach the witness?
IO: You
may.
TC[Maj
Erickson]: I am handing the witness what has been marked Investigative
Exhibit 86.
REDIRECT EXAMINATION
Questions by Major Erickson:
Q.
Ma'am, if you turn to the last page, 5 of 5 of Investigative Exhibit
86 --
IO: I
don't have an 86. I have an 81. 81 is the last one in the binder.
CC[Mr.
Meyers]: I don't have that picture.
TC[Maj
Erickson]: It was introduced after the first day, sir, along with
Staff Sergeant Laughner's immunity, sir.
IO:
Okay. I just replaced those. Those are the color versions?
TC[Capt
Hur]: Do you want this copy, sir?
CC[Mr.
Meyers]: I now understand.
IO: I
just replaced the bad copies. But I guess we indicated that to be a
whole separate exhibit. All right.
Questions by Major Erickson continued:
Q.
Ma'am, that last picture, do you recognize that picture?
A. Yes,
I do.
Q. And
you were discussing with Mr. Myers and the investigating officer what
an atypical wound was. Does this depict that atypical wound?
A. Yes,
on his right cheek, just lateral to his mustache. You can see what I
describe as an atypical entrance wound.
Q. This
is the individual that had that extreme expulsion of brain and skull
material out the left side of his head?
A. Yes.
Q. Just
for another clarification, on the same exhibit, page 3 of 5, when you
look on his left, the left of his nostril, is that the atypical
gunshot wound entrance that you speak of --
A. Yes.
That is a circular defect, certainly more consistent with atypical
gunshot entrance wound.
TC[Maj
Erickson]: I just wanted to point those out for the IO so he could see
what she was talking about with regards to atypical and typical
gunshot wound entries, sir.
CC[Mr.
Meyers]: Nothing based on those questions, sir.
IO:
Ma'am, are you scheduled to deploy or leave the country any time in
the next few months?
THE
WITNESS: No.
IO: Do
you believe you will be reasonably available to testify at any further
proceedings if they would happen over the next few months?
THE
WITNESS: Yes.
The
witness was excused from the Article 32 proceedings.
CC[Mr.
Meyers]: Your Honor, can we take a brief break?
IO: We
will take ten minutes.
The
Article 32 investigation recessed at 1023, 14 June 2007.
____________________________
Go to the
main page |
Read LtCol Rouse's pathology report
here |