1. Evidence--driving while impaired--blood plasma alcohol testing--results admissible
The trial court did not abuse its discretion in a driving while impaired prosecution by
admitting into evidence the results from a blood plasma alcohol test performed using an ACA
Star Analyzer. The court's findings reveal its consideration of the Analyzer's general
acceptance in both the medical and forensic fields, the fact that the Analyzer is an established
technique for measuring alcohol concentration, the professional backgrounds of the individuals
who operate and/or rely on the Analyzer, and defendant's particular circumstances.
2. Motor Vehicles--driving while impaired--blood plasma alcohol level-- conversion
ratio--reliable
The trial court did not abuse its discretion in a driving while impaired prosecution by
finding that a ratio of 1 to 1.18 was reliable to convert plasma-alcohol concentration to its blood-
alcohol equivalent. The court received evidence that 1 to 1.18 is the generally accepted
conversion ratio, that numerous studies have found that ratios between 1 to 1.15 and 1 to 1.21 to
be accurate, and the court's findings reveal consideration of the professional background of the
expert employing the 1 to 1.18 ratio. Furthermore, defendant's blood-alcohol level was above
the legal limit even using the highest conversion ratio.
3. Evidence--driving while impaired--blood plasma alcohol level--not unduly
prejudicial
The trial court did not abuse its discretion in a driving while impaired prosecution by
determining that the probative value of the results of a blood plasma alcohol test was not
substantially outweighed by the risk of prejudice. The test results were highly probative of
whether defendant was driving while impaired, the court determined that the Analyzer results
were reliable, the test results lacked emotional content, and both sides were allowed to present
explanatory expert testimony to reduce the risk of misleading the jury.
4. Evidence--character for truthfulness impugned--no prejudice
There was no prejudicial error in a prosecution for driving while impaired where a
trooper testified that defendant had told him that she had drunk a little Schnapps and the State
was allowed to elicit testimony from the same trooper that he later heard defendant state that she
had drunk nothing. Although defendant's character for truthfulness was not pertinent to the
charge of driving while impaired, the State's elicitation of this testimony did not present any
information to the jury which defendant did not present herself through her own witnesses.
5. Sentencing--driving while impaired--probation--longer than statutory period--no
findings
The trial court erred when sentencing defendant for driving while impaired by sentencing
her to a longer probation period than provided in N.C.G.S. § 15A-1343.2 without making the
required finding.
Appeal by defendant from judgment dated 19 February 1998 by
Judge Melzer A. Morgan, Jr. in Rockingham County Superior Court.
Heard in the Court of Appeals 27 April 1999.
Attorney General Michael F. Easley, by Special DeputyAttorney General Isaac T. Avery, III, for the State.
Marjorie S. Canaday, for defendant-appellant.
GREENE, Judge.
Lynette Mac Cardwell (Defendant) appeals from her driving
while impaired and reckless driving convictions.
On 26 April 1997 at approximately 7:00 p.m., Defendant was
involved in a two-vehicle collision. Following the collision,
Defendant was taken to Moses Cone Memorial Hospital (Moses Cone)
in Greensboro, North Carolina, for treatment. Defendant's
treating physician at Moses Cone ordered testing of Defendant's
blood for its alcohol concentration. Defendant's test results
were subsequently made available to the State by the trial court
upon a determination that it was necessary to the proper
administration of justice.
(See footnote 1)
On 18 December 1997, Defendant moved
to suppress the results of her alcohol testing on the grounds
that both the DuPont ACA Star Analyzer (Analyzer) utilized by
Moses Cone to determine Defendant's plasma-alcohol concentration
and the ratio used to convert her plasma-alcohol concentration to
the equivalent blood-alcohol concentration are unreliable.
At the hearing on Defendant's motion, testimony was
presented as to the chain of custody of Defendant's blood
samples.
(See footnote 2)
Bryan Dellinger (Dellinger), the Moses Cone medical
technologist who tested Defendant's blood samples, testified as
to his training and as to the proper operation of the Analyzer.
Dellinger further testified that he removed Defendant's plasma
from her whole blood in a centrifuge, and then tested her plasmain the Analyzer to determine its alcohol content. Defendant's
plasma-alcohol concentration, according to the Analyzer, was 127
milligrams per deciliter.
Robert Milton Gay, M.D. (Dr. Gay), chief of pathology and
clinical laboratory services at Moses Cone, testified during the
hearing that he was familiar with the Analyzer, and that it has
been in use at Moses Cone for "probably 20 years." Dr. Gay
testified that the Analyzer is reliable, and that "[a] lot of
hospitals use it for specific things. I would think that it
would be relatively common in tertiary care medicine." Dr. Gay
further testified that a combination of elevated lactic
dehydrogenase (LDH) levels and other factors could cause a false
high alcohol reading on the Analyzer. Dr. Gay testified he was
convinced, from a review of Defendant's medical records, that
although Defendant had elevated LDH levels due to liver damage
caused by the accident, no other factors were present which,
combined with Defendant's elevated LDH levels, could cause a
false reading. "As I mentioned, another factor is required for
[a false reading] to happen, and that's an increase in lactate or
lactic acid, and while there is no direct measurement of lactic
acid here, there is evidence that [Defendant's] lactic acid was
not increased." Dr. Gay summed up his testimony by stating that,
in his opinion, nothing in Defendant's medical record caused him
to doubt the accuracy of the Analyzer's results in this case. On
cross-examination, Dr. Gay stated unequivocally that transfusions
of saline, which had been administered to Defendant prior to the
withdrawal of her blood samples, would not have affected the
Analyzer's results.
Richard W. Waggoner, Jr., Ph.D. (Dr. Waggoner), a forensic
chemist with the North Carolina State Bureau of Investigation(SBI), was permitted to testify as an expert in forensic
chemistry. Dr. Waggoner explained that testing plasma for
alcohol concentration results in higher readings than the testing
of whole blood for alcohol concentration, and, accordingly,
plasma-alcohol content must be converted to its equivalent blood-
alcohol content to ascertain whether the alcohol concentration of
an individual's blood is over the legal limit of 0.08. Dr.
Waggoner testified that the SBI uses a ratio of 1 to 1.18 to
convert the alcohol concentration of plasma into "whole blood
results," and has used this ratio for over ten years. Dr.
Waggoner stated that a 1 to 1.18 ratio is considered
scientifically reliable by other experts in the field of
forensics. Approximately 90 percent of the published studies in
journals and texts report accurate conversion ratios ranging from
1 to 1.15 through 1 to 1.21, although Dr. Waggoner was aware of
one study which found one individual to have a conversion ratio
of 1 to 1.59, and of one study which found one individual to have
a conversion ratio of 1 to 1.35. Dr. Waggoner believed these
figures to be unreliable "outliers" based on his review of
numerous studies, encompassing a total of approximately one
thousand individuals. Using the SBI's conversion ratio of 1 to
1.18 to convert Defendant's plasma-alcohol concentration of 127
milligrams per deciliter, Dr. Waggoner testified that Defendant's
blood-alcohol concentration would be equivalent to 0.107. Using
a conversion ratio of 1 to 1.21, the highest ratio Dr. Waggoner
considered to be reliable, Defendant's blood-alcohol
concentration would be equivalent to 0.105. Even using a
conversion ratio of 1 to 1.35, a ratio Dr. Waggoner considered
unreliable, Defendant's blood-alcohol concentration would be
equivalent to 0.094. James Woodford, Ph.D. (Dr. Woodford), a chemist, testified
for Defendant as an expert in "medicinal and forensic chemistry."
In Dr. Woodford's opinion, the Analyzer is not a reliable method
of determining blood-alcohol concentration. Dr. Woodford
testified that, in his experience with drug-testing for federal
employment, alcohol concentration results obtained from enzyme
tests such as the Analyzer may not serve as the basis for hiring
or firing decisions unless the results are verified by gas
chromatography testing. Dr. Woodford also believed the Analyzer
to be unreliable because it tests for a reaction which can be
caused by alcohol, but which can also be caused by other factors,
including enzymes. Dr. Woodford opined that the damage to
Defendant's liver could have released enzymes which would affect
the Analyzer's reading. In addition, Dr. Woodford believed the
Analyzer's results were unreliable in this case because Defendant
had been given at least two units of saline solution, which is
mostly water, prior to having her blood taken. Dr. Woodford
testified that alcohol is attracted to water, and the water in
the saline solution would have absorbed alcohol stored in
Defendant's muscle tissue, resulting in higher levels of alcohol
in Defendant's bloodstream. Dr. Woodford disputed the 1 to 1.18
conversion ratio utilized by the SBI, stressing that most
published studies setting a ratio to convert plasma-alcohol
content to blood-alcohol content apparently test healthy
individuals (although he conceded that at least one of the
relied-upon studies tested blood received from emergency room
patients). Accordingly, Dr. Woodford felt that the conversion
ratio of individuals in the studies could not accurately be
applied to individuals, like Defendant, suffering from trauma.
Following the presentation of testimony, the trial courtheard arguments from Defendant and from the State, noting that
"[t]he State has the burden" of showing that the Analyzer is a
reliable mechanism for testing alcohol concentration and that 1
to 1.18 is a reliable conversion ratio. The trial court
subsequently made the following pertinent findings of fact as to
the reliability of the Analyzer and the 1 to 1.18 conversion
ratio:
6. . . . The [Analyzer] is of very good
reliability. Similar instruments have been
in use for over 20 years. This model is in
common use in tertiary care hospitals
throughout the United States [and] . . . has
gained general acceptance among metropolitian
[sic] hospitals in North Carolina and
hospitals throughout the United States. The
principles underlying this instrument are
scientifically valid. It is a reliable
scientific instrument. . . .
. . . .
12. . . . It is generally recognized
and accepted that an alcohol reading in
plasma is higher than an alcohol reading in
whole blood, so the reading must be converted
to whole blood alcohol level for court
purposes. The ratio used by the SBI is a
conservative ratio. The ratio is 1 to 1.18.
It has been used for at least 11 years by the
North Carolina State Bureau of Investigation
forensic laboratory. The ratio chosen by the
SBI laboratory is a conservative ratio, at
the mid-point in values in the recognized
scientific and technical literature. This
ratio is based on the published
findings. . . . The 1 to 1.18 ratio is a
reliable ratio. The 1 to 1.18 ratio is
generally accepted in the field of forensic
chemistry. The 1 to 1.18 ratio is considered
sufficiently reliable by other experts in the
field of forensic chemistry. The ratio is an
established and respected ratio in the
forensic community [and] is scientifically
valid. . . . A plasma alcohol concentration
here of 127 milligrams per deciliter, when
the 1 to 1.18 ratio is used, gives a whole
blood alcohol concentration reading of .10[7]
per one hundred milliliters of blood. . . .
Using 1 to 1.35, the result would be .094.
Dr. Waggoner's education and experience well
fit him for explaining the conversion factor
and the result to the trial jury.
Considering factors specific to Defendant which could have
affected the reliability of her Analyzer results, the trial court
found:
7. . . . An elevated LDH reading
standing by itself, as a single factor, would
not result in a false high reading. Other
body chemistry readings did not indicate that
elevated LDH would give a false positive
reading. . . . [T]here was no credible
evidence that elevated LDH skewed the result
of the plasma alcohol test. . . .
8. . . . Here there were body chemistry
readings which indicate that lactic acid was
not increased (high). . . .
9. . . . [T]he State's medical expert,
Pathologist Dr. Gay, was aware that the
[D]efendant received two units of saline
solution. This fact did not cause him to be
suspicious of the test result. The Court
does not find it persuasive that the
[D]efendant's plasma alcohol concentration
would be increased because the [D]efendant
was given saline solution before blood was
drawn.
Finally, balancing the probative value of Defendant's Analyzer
test results against the prejudicial effect of this evidence, the
trial court found:
15. Engaging in the balancing involved
under Rule 403 of the North Carolina Evidence
Code, the Court determines that the probative
value of the figure arrived at by converting
plasma blood alcohol to whole blood alcohol
concentration is not substantially outweighed
by the danger of unfair prejudice, confusion
of the issues, or any other matter of concern
under Rule 403.
Based on these findings, the trial court denied Defendant's
motion to suppress the Analyzer test results.
At trial, the three individuals who had witnessed the
accident testified for the State. Jessica Elizabeth Sola (Sola)
testified that Defendant's vehicle "crosse[d] in my lane
traveling in the other lane, and as I was slowing down I started
to pull off the side of the road and she come over into my laneand hit me." Brenda Brown (Brown) and her son, Joshua Horn
(Horn), were a few car-lengths ahead of Sola's vehicle in the
same lane of travel. Brown testified:
[Defendant's vehicle] run off on the curve,
and when it came back on [the road] it came
over into our lane of traffic and kind of
like zig-zagged back and forth after that,
and I told my son [who was driving Brown's
vehicle] to pull the car over. I said, "I
think she is going to wreck." And then I
said, "She may hit us," and we pulled over.
Brown watched as Defendant's vehicle crossed into Sola's lane of
travel and hit Sola's vehicle. Horn testified:
[Defendant's vehicle] had come around the
curve and I noticed it hit the -- it went off
the road toward the right-hand side and threw
up a cloud of dust . . . then the car was out
of control, and as it come closer to us it
zig-zagged like in and out. It come in our
lane of travel and went back in its lane past
us. Once it passed us, it zig-zagged back
into Ms. Sola's lane and then they collided.
Horn went to Defendant's vehicle to check on her, and smelled an
odor of alcohol about Defendant's person.
After the accident occurred, Benjamin Franklin Archer, IV
(Archer), an emergency medical technician, arrived at the scene.
He climbed into the back seat of Defendant's vehicle to attempt
to stabilize Defendant's head and neck. Archer testified that he
smelled a moderate odor of alcohol coming from Defendant's
breath.
When Defendant arrived at Moses Cone following the accident,
Jamie Blue (Blue), an emergency room staff nurse, Joseph Perez
(Perez), a registered nurse, and DeAudra Belizone, a clinical
laboratory technician, were in Defendant's presence for an
extended period while performing their duties. Each testified
that they detected an odor of alcohol coming from Defendant's
breath. In addition, Blue and Perez testified that Defendant
stated she "had been drinking at the lake." Trooper Mike Murphy (Trooper Murphy) of the North Carolina
Highway Patrol also spoke with Defendant that evening at Moses
Cone, and noticed "a moderate odor of alcohol" coming from
Defendant's breath. Trooper Murphy testified that when he
returned to Moses Cone two days later, "[Defendant] just made a
voluntary statement to me that she didn't feel like she was
impaired, that she had drank some Schnapps at Dr. Mitch Bloom's
residence at Belews Creek; however, it wasn't that much."
Trooper Murphy was then allowed to testify, over Defendant's
objection, that he had subsequently heard Defendant state she
"had drank nothing" prior to the wreck.
After Dellinger and Dr. Waggoner offered substantially the
same testimony as they had offered during the pretrial hearing on
Defendant's motion to suppress, the State rested its case-in-
chief.
Defendant did not testify in her own behalf. Four friends
and/or acquaintances of Defendant each testified that they had
engaged in brief conversations with Defendant around 5:00 p.m.;
none noticed an odor of alcohol. Carolyn Cardwell (Cardwell),
Defendant's mother, testified that she and Defendant spoke
briefly "near seven o'clock" before Defendant left to attend a
banquet. Cardwell noticed no odor of alcohol on Defendant's
breath. Amy Baitz (Baitz), one of the first passers-by following
the accident, applied a towel to the laceration on Defendant's
forehead until medical personnel arrived, and noticed no odor of
alcohol. Jodie Allen Shelton (Shelton) rode at Defendant's feet
in the ambulance to Moses Cone and did not smell any odor of
alcohol about Defendant. Cuff Watson Hopper (Hopper), a county
rescue squad volunteer and friend of Defendant, also rode with
Defendant in the ambulance. Hopper testified that he did notnotice any odor of alcohol. After Dr. Woodford offered
substantially the same testimony as he had offered during the
pretrial hearing on Defendant's motion to suppress, the defense
rested.
On rebuttal, Ronald C. Hill, Jr. (Hill), a paramedic,
testified for the State. Due to his sinus condition, Hill could
not smell anything on 26 April 1997. While riding in the
ambulance with Defendant on the way to Moses Cone, Hill asked
Hopper if he smelled any odor of alcohol about Defendant's
person, and Hopper nodded affirmatively. Phil Mizelle (Mizelle),
also a paramedic, saw Hopper the day after the accident. Mizelle
was allowed to testify, solely for the purpose of impeaching
Hopper, that Hopper told him alcohol had been involved in the
wreck and Defendant had been drinking. Dr. Gay also testified on
rebuttal, offering substantially the same testimony as he had
offered during the pretrial hearing on Defendant's motion to
suppress.
After closing arguments, the trial court instructed the jury
that it could find Defendant guilty of driving while impaired if
it found beyond a reasonable doubt that she was driving a vehicle
on a highway in this State and "that at the time the [D]efendant
was driving that vehicle she either (a) was under the influence
of an impairing substance . . . [or (b)] had an alcohol
concentration of .08 or more grams of alcohol per 100 milliliters
of blood." The jury returned verdicts of guilty of driving while
impaired and reckless driving. For the driving while impaired
conviction, the trial court sentenced Defendant to a twelve-month
suspended sentence. Defendant was placed on supervised probation
for one year and unsupervised probation for four years, and was
required to serve an active sentence of sixty days as a conditionof her probation. For the reckless driving conviction, the trial
court entered an additional thirty-day suspended sentence. For
that conviction, Defendant was placed on supervised probation for
twelve months and unsupervised probation for forty-eight months.
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