Whether Hamilton legally caused Slye’s death when Slye pulled out the breathing tubes before dying of asphyxiation.
Holding
Yes. Hamilton’s assault was a legally sufficient cause of Slye’s death.
Reasoning
A person who inflicts a wound is responsible for homicide when that wound sets in motion a chain of causation leading to death, even if the wound was not independently fatal and even if proper care might have prevented death. Under the common-law rule, the original assailant remains responsible where the wound is the mediate cause of a later fatal condition.
District of Columbia precedent likewise establishes that a victim’s failure to obtain or follow medical treatment does not break the causal connection between the assailant’s injury and the death. The court treated the severe injuries Hamilton inflicted as the source of the blood aspiration and resulting asphyxia identified by both physicians.
The evidence did not establish that Slye would have survived had the tubes remained in place. More fundamentally, even assuming Slye consciously and deliberately removed them and might otherwise have lived, that act would not relieve Hamilton of responsibility. Cases involving victims who hastened death through more affirmative conduct—including cutting their own throats after a mortal wound or taking poison after criminal abuse—showed that a victim’s intervening act does not necessarily supersede the defendant’s original violence.