EL PASO COUNTY CORONER 2741 EAST LAS VEGAS STREET COLORADO SPRINGS, COLORADO 80906 NAME: VIGIL, Joshua M. COUNTY: EL PASO Date of Birth: Age: 38 years AUTOPSY NO: 19-0674 AUTOPSY DATE: 07/24/2019 Sex: M Ht 74” We: 185 Ibs. BEGAN: 9:00 AM MD: Travis Danielsen, M.D, DATE OF PRONOUNCMENT: 07/23/2019 TIME OF PRONOUNCEMENT: 6:37 PM. Identified by: Fingerprints FINAL DIAGNOSES: 1. Gunshot wound of the head (#1): ‘A. Entrance: right temporal scalp, B. Path: perforations of the skin and subcutaneous tissue of the right temporal scalp, outer table of the right side of the frontal bone, subcutaneous tissue, and skin of the right side of the forehead C. Exit: right side of the forehead. D. Recovery: five (5) severely deformed, projectile core fragments are recovered from the subcutaneous tissue of the right forehead. E. Associated injuries: subscalpular and subgaleal hemorrhages over the right temporal and frontal skull; fracture of the right side of the orbital plate. F. Direction: back to front, downward, and slightly right to lef. G. Range: no soot, stippling, or muzzle imprint on the skin. I, Gunshot wound of the chest (#2): ‘A. Entrance: mid chest. B. Path: perforations of the skin and subcutaneous tissue of the mid chest, musculature, sternum, pericardium, anterior and posterior aspects of the right ventricle, esophagus, posterior left 6" rib, musculature, subcutaneous tissue, and skin of the mid left back. C. Recovery: three (3) severely deformed, gray metal projectile core fragments collected fiom the musculature surrounding the defect in the stemum. D. Exit: mid left back. E. Associated injuries: open pericardi F. Direction: front to back, downward, and slightly right to left, G. Range: no soot, stippling, or muzzle imprint on the skin, IIL, Gunshot wound of the trunk (#3): ‘A. Entrance: mid epigastric region.19-0674 VIGIL, Joshua M. B. Path: perforations of the skin and subcutaneous tissue of the mid epigastric region, musculature, stomach, posterior aspect of the stomach, musculature, and penetration of the 10" thoracic (T10 vertebra). C. Recovery: moderately deformed, apparent medium caliber, copper color projectile jacket is recovered within the stomach; severely deformed, gray metal, projectile core is recovered embedded in the 10" thoracic (T10) vertebra D. Associated injuries: contribution to a hemoperitoneum (200 mL). E. Direction: front to back, slightly right to left, and slightly downward. F. Range: no soot, stippling, or muzzle imprint on the skin. IV. Gunshot wound of the trunk (#4): A. Entrance: lateral left chest. B. Path: perforations of the skin and subcutaneous tissue of the left side of the chest, musculature, lateral left 6" rib, upper lobe of the left lung, lower lobe of the left lung, left hemidiaphragm, and penetration of the musculature of the left side of the back. C. Recovery: moderately deformed, gray metal projectile core recovered from the musculature of the left side of the back. D. Associated injuries: contribution to a left hemothorax (750 mL). E, Direction: downward and front to back. F. Range: no soot, stippling, or muzzle imprint on the skin. V. Gunshot wound of the trunk (#5): ‘A. Entrance: left flank. B. Path: perforations of the skin and subcutaneous tissue of the left flank, musculature, posterior left 6" rib, lower lobe of the left lung, and penetrates the left pleural cavity. C. Recovery: moderately deformed, gray metal projectile core recovered free-floating in the left pleural cavity. D. Associated injuries: contribution to a left hemothorax (750 mL). E. Direction: back to front, upward, and slightly right to left. F. Range: no soot, stippling, or muzzle imprint on the skin. VI. Gunshot wound of the trunk (#6): A. Entrance: lateral left lower quadrant of the abdomen. B. Path: perforations of the skin and subcutaneous tissue of the lateral left lower quadrant of the abdomen, musculature of the lateral left lower quadrant of the abdomen and penetration of the musculature of the left hip. C. Recovery: moderately deformed, apparent medium caliber, copper color projectile jacket recovered from the musculature of the left hip. D. Direction: front to back and right to left E. Range: no soot, stippling, or muzzle imprint on the skin. VII. Gunshot wound of the trunk (#7): A. Entrance: right flank, B. Path: perforations of the skin and subcutaneous tissue of the right flank, musculature, lateral right 7" rib and intercostal muscle, and penetration of the lower lobe of the right Jung.19-0674 VIGIL, Joshua M, C. Recovery: moderately deformed, copper color projectile jacket recovered embedded in the lateral right 7" rib; moderately deformed projectile core recovered from the lower lobe of the right lung. D. Associated injuries: contribution to a right hemothorax (100 mL). E, Direction: right to left, slightly upward, and slightly back to front. F. Range: no soot, stippling, or muzzle imprint on the skin, VII. Gunshot wound of the upper back and posterior neck (#8): ‘A. Entrance: right mid upper back. B. Path: perforations of the skin and subcutaneous tissue of the right mid upper back, ‘musculature of the mid upper back and penetration of the musculature of the mid posterior neck, C. Recovery: severely deformed, gray metal projectile core recovered from the musculature of the mid posterior neck. D. Direction: back to front, slightly upward, and slightly right to left E. Range: no soot, stippling, or muzzle imprint on the skin. IX. Gunshot wound of the mid back (#9): ‘A. Entrance: left mid back. B. Path: perforations of the skin and subcutaneous tissue of the left mid back, musculature, posterior left 5" rib, lower lobe of the left lung, posterolateral left 6" rib, and penetrates the musculature of the lateral left back, The projectile jacket and core separate during course of the projectile. C. Recovery: moderately deformed, copper color projectile jacket and gray metal projectile core are recovered separately within the musculature of the left back. D. Associated injuries: contribution to a left hemothorax (750 mL}. E, Direction: right to left, slightly downward, and slightly back to front. F. Range: no soot, stippling, or muzzle imprint on the skin, X. Gunshot wound of the mid back (#10): ‘A. Entrance: right mid back. B. Path: perforations of the skin and subcutaneous tissue of the right mid back, musculature, posterior right 11" rib, esophagus, posterior and anterior aspects of the left ventricle, and penetration of the pericardium. C. Recovery: moderately deformed, gray metal projectile core recovered free-floating in the pericardium. D. Associated injuries: contribution to a right hemothorax (100 mL); open pericardium. E, Direction: back to front, upward, and slightly right to left. F. Range: no soot, stippling, or muzzle imprint on the skin, XI. Gunshot wounds of the right back (#11, #12): A. Entrances: right side of the back, B. Paths: perforation of the skin and subcutaneous tissue of the right side of the back, penetration or perforation of the musculature of the right side of the back, lateral right 3° rib (3/4 inch defect), upper lobe of the right lung (3/4 inch defect), esophagus (1/4 inch19-0674 VIGIL, Joshua M, defect), anterior left 5" rib (where the projectile jacket becomes embedded in the overlying musculature), and penetration of the musculature of the left upper chest C. Recovery: moderately deformed, gray metal projectile core recovered from musculature of the right back; moderately deformed, copper color projectile jacket recovered from the musculature of the left chest; moderately deformed, gray metal projectile core recovered from the musculature of the left upper chest. D. Associated injuries: contributions to a right hemothorax (100 mL) and a left hemothorax (750 mL). E, Directions: back to front and right to left. F. Range: no soot, stippling, or muzzle imprint on the skin. XII. Gunshot wounds of the posterior right shoulder (#13-#15): ‘A. Entrances: posterior aspect of the right shoulder. B. Paths: collective perforations and or penetrations of the skin and subcutaneous tissue of the right shoulder, musculature, and right shoulder joint. C. Recovery: moderately deformed, apparent medium caliber, copper color projectile jacket recovered protruding from the skin of the superior aspect of the right shoulder; moderately deformed, apparent medium caliber, copper color projectile jacket, and gray metal projectile core recovered from the right shoulder. D. Direction: back to front and slightly upward. E. Range: no soot, stippling, or muzzle imprint on the skin. XII, Gunshot wounds of the trunk (#16, #17): ‘A. Entrances: right lower back. B. Paths: perforations of the skin and subcutaneous tissue of the right lower back, musculature, right kidney, right hemidiaphragm, and penetration of the right pleural cavity. C. Recovery: two moderately deformed, gray metal projectile cores recovered free- floating in the right pleural cavity. D. Associated injuries: contributions to hemoperitoneum (200 mL) and right hemothorax (100 mL). E. Direction: back to front, upward, and slightly right to left. F, Range: no soot, stippling, or muzzle imprint on the skin XIV, Gunshot wound of the left arm (#18): A. Entrance: posterior left arm. B. Path: perforations of the skin and subcutaneous tissue of the posterior left arm, ‘musculature, mid left humerus, and penetration of the left biceps muscle. C. Direction: back to front. D. Range: no soot, stippling, or muzzle imprint on the skin, XV. Gunshot wound of the left arm (#19): A. Entrance: distal posterior left arm. B. Path: perforations of the skin and subcutaneous tissue of the distal posterior left arm, musculature, distal head of the left humerus, and penetration of the musculature of the distal left arm.19-0674 VIGIL, Joshua M, C. Recovery: moderately deformed, gray metal projectile core recovered from the medial aspect of the distal left arm. D. Direction: back to front. E. Range: no soot, stippling, or muzzle imprint on the skin. XVI. Gunshot wound of the left foot (#20): A. Entrance: medial left foot. B. Path: perforations of the skin and subcutaneous tissue of the medial left foot, musculature and bone of the left great toe, subcutaneous tissue, skin, and toenail of the left great toe. C. Exit: left great toe. D. Recovery: mildly deformed, apparent medium caliber, copper color projectile jacket recovered embedded in the sock over the left foot. E. Direction: downward, back to front, and slightly right to left. F. Range: no soot, stippling, or muzzle imprint on the skin. XVII. Graze-type wounds of the left chest, left upper back, right upper back, left back, right back, and left arm. XVII. Scattered pseudostippling over the back, consistent with history that the decedent was shot through a glass wall/partition. XIX. Additional projectile fragment recovery: A. Fragment of copper color projectile jacket recovered from skin of left side of face. B, Fragment of copper color projectile jacket recovered from skin of right mid back. C. Fragment of gray metal projectile core recovered from skin of right upper back. D. Two fragments of gray metal projectile core recovered from musculature of medial left neck, XX. Abrasions of the right ear, posterior neck, left upper and lower extremities. XXI. Cardiomegaly (450 g). XXII. Postmortem blood toxicology positive for ethanol, methamphetamine, amphetamine, and benzoylecgonine (metabolite of cocaine). XXIII. History that the decedent was involved in an altercation with law enforcement, during which he was shot by multiple officers.19-0674 VIGIL, Joshua M. OPINION: Based on the case history and autopsy findings, it is our opinion that Joshua M. Vigil, a 38-year-old male, died as a result of gunshot wounds. MANNER OF DEATH: Homicide as ee TRAVIS DANIELSEN, M.D. LEON KELLY, M.D. EMILY RUSSELL, M.D, DANIEL-LINGAMFELTER, D.O. September 3, 201919-0674 VIGIL, Joshua M. PERSONS PRESENT AT AUTOPSY Detective Jerry Schiffelbein, Colorado Springs Police Department, Detective Andrew ‘Thompson, Robert Sirois, and Courtney McCormack, El Paso County Sheriff's Office, and Alyssa Berriesford, Colorado Spings Metro Crime Lab, are present for the postmortem examination. GENERAL EXAMINATION The body is that of a normally developed, well-nourished, male, 74 inches long, weighing 185 Ibs, and appearing compatible with the stated age of 38 years. When first viewed, the body is clad in green and white socks. The hands are bagged. No jewelry is present. Personal effects received with the body include a black wallet, Colorado driver license (0899), Visa (4482), MasterCard (1031), Social Security card (0855), and miscellaneous papers and cards. The remainder of the clothing is received in paper bags and includes black shoes, brown belt, jean shorts, and black and white boxer shorts. Photographs, fingerprints, and a full body radiograph are taken. Review of the radiograph reveals multiple radiopaque projectile jackets, cores, and fragments consistent with those able to be recovered at autopsy. An El Paso County Coroner tag is on the right ankle, EVIDENCE SUBMITTED The following items are collected, sealed within appropriately labeled containers, and submitted directly to Alyssa Berriesford, Colorado Springs Metro Crime Lab: Clothing Personal effects Blood card Fingernail clippings (right and left hands) ‘Swabs (face and hands) Gunshot residue (GSR) kit Fingerprints and palm prints Bags from hands Projectiles and projectile fragments (24 separate containers) EXTERNAL EXAMINATION There is good preservation in the absence of embalming. The body is cool secondary to refrigeration, rigor is fully developed, and there is well developed, red-purple, partially blanching, posterior lividity. The scalp hair is straight, dark brown, and measures up to 1 Ys inches in length. A brown mustache and goatee are on the face. Brown stubble is in a beard distribution. The irides appear brown, the corneae are clear, and there are no petechiae of the bulbar or palpebral conjunctivae. ‘The nose and lips are unremarkable. The teeth are natural and in good condition, The neck is unremarkable. The chest is symmetrical and the abdomen is flat. The external genitalia and perineum are unremarkable. The extremities are well developed and symmetrical.19-0674 VIGIL, Joshua M. IDENTIFYING MARKS AND SCARS Black tattoos are over the face, neck, chest, abdomen, back, right shoulder, right arm and forearm, fingers of the right hand, medial left thigh, legs, and medial right ankle. Multicolored tattoos are over the right side of the chest, left upper quadrant of the abdomen, left forearm and hand, right hand, posterior right leg, and right foot. A “inch linear scar is over the distal anterior right thigh. EVIDENCE OF MEDICAL THERAPY An endotracheal tube is in the mouth, Adhesive electrocardiogram pads are on the left arm and left thigh. A fresh incision, secured with sutures, spans the left side of the lower ches EVIDENCE OF INJURY ‘There are twenty (20) gunshot wounds described below. The wounds are numbered arbitrarily for identification purposes only without regard to sequence or severity of injury. All measurements and directions are taken with the body in the anatomic position. History indicates that the decedent was shot through a glass wall/partition and there is scattered pseudostippling, mainly involving the back. GUNSHOT WOUND OF THE HEAD (1) An entrance gunshot wound of the right temporal scalp is centered 2 ' inches from the top of the head, 2 % inches superior to, and 1 %4 inches anterior to the superior attachment of the right ear. The 1% x % inch irregular defect has a circumferential marginal abrasion that measures up to 1/8 inch (6:00 to 9:00 position). ‘There is no soot, stippling, or muzzle imprint on the skin. After perforating the skin and subcutaneous tissue of the right temporal scalp, the projectile sequentially perforates the outer table of the right side of the frontal bone, subcutaneous tissue, and skin of the right side of the forehead. Five severely deformed, gray metal projectile core fragments are recovered from the subcutaneous tissue of the right forehead. The projectile fragments are collectively photographed, placed within an appropriately labeled (“core fragments from head”) container, and are submitted as evidence. An exit gunshot wound of the right side of the forehead is centered 4 inches from the top of the head and 2 4 inches to the right of the anterior midline. The irregular defect measures 2 x % inch. There is no soot, stippling, or muzzle imprint on the sk Associated injuries include a 1 inch, ovoid subscalpular and subgaleal hemorrhage over the right temporal skull and a 2% inch subscalpular and subgaleal hemorrhage over the right frontal skull. The right side of the orbital plate is fractured. ‘The direction of the projectile is back to front, downward, and slightly right to left GUNSHOT WOUND OF THE CHEST (#2)19-0674 VIGIL, Joshua M. ‘An entrance gunshot wound of the mid chest is centered 16 ‘4 inches from the top of the head and at the anterior midline. The ¥ inch, ovoid defect has a 1/16 inch circumferential marginal abrasion, There is no soot, stippling, or muzzle imprint on the skin After perforating the skin and subcutaneous tissue of the mid chest, the projectile sequentially perforates the musculature, sternum, pericardium, anterior and posterior aspects of the right ventricle (1/2 inch defects), esophagus (1/4 inch defect), posterior left 6" rib (1/2 inch defect), musculature, subcutaneous tissue, and skin of the mid left back. Three (3) severely deformed, gray metal projectile core fragments are recovered from the musculature surrounding the defect in the sternum. The projectile core fragments are collectively photographed, placed within an appropriately labeled (“3 projectile fragments from central chest”) container, and are submitted as evidence. ‘An exit gunshot wound of the mid left back is centered 18 inches from the top of the head and | 44 inches to the left of the posterior midline, The irregular defect measures % inch. There is no soot, stippling, or muzzle imprint on the skin. ‘The wound track is hemorrhagic and pulpified. The pericardial sac is open. The direction of the projectile is front to back, downward, and slightly right to left. GUNSHOT WOUND OF THE TRUNK (#3) An entrance gunshot wound of the mid epigastric region is centered 22 % inches from the top of the head and 1 % inches to the right of the anterior midline. The 7/16 inch, ovoid defect has an up to 3/16 inch circumferential marginal abrasion (12:00 to 3:00 position). There is no soot, stippling, or muzzle imprint on the skin, ‘After perforating the skin and subcutaneous tissue of the mid epigastric region, the projectile ‘sequentially perforates the musculature, anterior aspect (1/2 inch defect) of the stomach (where the projectile jacket remains), posterior aspect of the stomach (1/2 inch defect), musculature, and the projectile core penetrates the 10" thoracic (T10) vertebra. ‘A moderately deformed, apparent medium caliber, copper color projectile jacket is recovered within the stomach, The projectile jacket is photographed, placed within an appropriately labeled (“bullet from stomach”) container, and submitted as evidence. A severely deformed, gray metal, projectile core is recovered embedded in the T10 vertebra. ‘The projectile core is photographed, placed within an appropriately labeled (“projectile from t-10 vertebrae”) container, and is submitted as evidence. ‘Associated injuries include a contribution to a hemoperitoneum (200 mL). The direction of the projectile is front to back, slightly right to left, and slightly downward, GUNSHOT WOUND OF THE TRUNK (#4) ‘An entrance gunshot wound of the lateral left chest is centered 19 % inches from the top of the head and 5 4 inches to the left of the anterior midline. The 1 1/16 inch, gaping ovoid defect has19-0674 VIGIL, Joshua M. a less than 1/16 inch circumferential marginal abrasion. There is no soot, stippling, or muzzle imprint on the skin. After perforating the skin and subcutaneous tissue of the left side of the chest, the projectile core sequentially perforates the musculature, lateral left 6" rib (3/4 inch defect), upper lobe of the left Tung (3/4 inch defect), lower lobe of the left lung (1 inch defect), left hemidiaphragm (1 inch defect), and penetrates the musculature of the left side of the back. A moderately deformed, apparent medium caliber, gray metal projectile core is recovered from the musculature of the left side of the back. The projectile core is photographed, placed within an appropriately labeled (“projectile core from left back”) container, and is submitted as evidence. Associated injuries include a contribution to a left hemothorax (750 mL). The direction of the projectile is downward and front to back. GUNSHOT WOUND OF THE TRUNK (#5) ‘An entrance gunshot wound of the left flank is centered 19 % inches from the top of the head and 2 % inches posterior to the left midaxillary line. The 5/8 inch, ovoid defect has a 1/8 inch marginal abrasion (4:00 to 12:00 position). There is no soot, stippling, or muzzle imprint on the skin, After perforating the skin and subcutaneous tissue of the left flank, the projectile sequentially perforates the musculature, posterior left 6" rib (1/2 inch defect), lower lobe of the left lung (1 inch defect), and penetrates the left pleural cavity. ‘A moderately deformed, apparent medium caliber, gray metal projectile core is recovered free- floating in the left pleural cavity. The projectile core is photographed, placed within an appropriately labeled (“projectile core from left chest cavity”) container, and is submitted as evidence. Associated injuries include a contribution to a left hemothorax (750 mL). ‘The direction of the projectile is back to front, upward, and slightly right to left. GUNSHOT WOUND OF THE TRUNK (#6) An entrance gunshot wound of the lateral left lower quadrant of the abdomen is centered 27 %4 inches from the top of the head and 7 % inches to the left of the anterior midline. The % inch, ‘ovoid defect has a circumferential marginal abrasion that measures up to 3/16 inch (3:00 to 6:00 and 9:00 positions). There is no soot, stippling, or muzzle imprint on the skin. After perforating the skin and subcutaneous tissue of the lateral left lower quadrant of the abdomen, the projectile jacket sequentially perforates the musculature of the lateral left lower quadrant of the abdomen and penetrates the musculature of the left hip. 1019-0674 VIGIL, Joshua M. ‘A moderately deformed, apparent medium caliber, copper color projectile jacket is recovered from the musculature of the left hip. The projectile jacket is photographed, placed within an appropriately labeled (“projectile jacket from left hip”) container, and is submitted as evidence. ‘The wound track is hemorrhagic and pulpified. The direction of the projectile is front to back and right to left. GUNSHOT WOUND OF THE TRUNK (#7) An entrance gunshot wound of the right flank is centered 22 '4 inches from the top of the head and 1 inch anterior to the right midaxillary line, The 11/16 inch, ovoid defect has a circumferential marginal abrasion that measures up to 1/8 inch (11:00 to 3:00 position). There is no soot, stippling, or muzzle imprint on the skin, After perforating the skin and subcutaneous tissue of the right flank, the projectile sequentially perforates the lateral right 7" rib (where the projectile jacket becomes embedded) and intercostal muscle, and penetrates the lower lobe of the right lung (1/2 inch defect). ‘A moderately deformed, apparent medium caliber, copper color projectile jacket is recovered embedded in the lateral right 7" rib. The projectile jacket is photographed, placed within an appropriately labeled (“projectile jacket lateral right 7" rib”) container, and is submitted as evidence. ‘A moderately deformed, apparent medium caliber, gray metal projectile core is recovered in the lower lobe of the right lung. The projectile core is photographed, placed within an appropriately labeled (“core right lower lobe”) container, and is submitted as evidence. Associated injuries include a contribution to a right hemothorax (100 mL). The direction of the projectile is right to left, slightly upward, and slightly back to front. GUNSHOT WOUND OF THE UPPER BACK AND POSTERIOR NECK (#8) ‘An entrance gunshot wound of the right mid upper back is centered 10 ¥4 inches from the top of the head and 1 inch to the right of the posterior midline. The slightly irregular, ovoid defect measures 9/16 inch. There is no soot, stippling, or muzzle imprint on the skin. After perforating the skin and subcutaneous tissue of the right mid upper back, the projectile sequentially perforates the musculature of the mid upper back and penetrates the musculature of the mid posterior neck. A severely deformed, gray metal projectile core is recovered from the musculature of the mid posterior neck. The projectile core is photographed, placed within an appropriately labeled projectile core from posterior neck”) container, and is submitted as evidence. ‘The wound track is hemorrhagic and pulpified. The direction of the projectile is back to front, slightly upward, and slightly right to left. GUNSHOT WOUND OF THE MID BACK (#9) ni19-0674 VIGIL, Joshua M. ‘An entrance gunshot wound of the left mid back is centered 16 ¥ inches from the top of the head and | inch to the left of the posterior midline. The % inch, ovoid defect has a % inch eccentric marginal abrasion (2:00 to 6:00 position). There is no soot, stippling, or muzzle imprint on the skin, After perforating the skin and subcutaneous tissue of the left mid back, the projectile sequentially perforates the musculature, posterior left 5"* rib (1/2 inch defect), lower lobe of the left lung, posterolateral left 6" rib (1/2 inch defect), and penetrates the musculature of the lateral left back. The projectile jacket and core separate during course of the projectile. A moderately deformed, apparent medium caliber, copper color projectile jacket is recovered from the musculature of the left back. ‘The projectile jacket is photographed, placed within an appropriately labeled (“projectile jacket from lateral back”) container, and is submitted as evidence, A moderately deformed, apparent medium caliber, gray metal projectile core is recovered from the lateral left back. The projectile core is photographed, placed within an appropriately labeled (“projectile core from lateral left back”) container, and is submitted as evidence. Associated injuries include a contribution to a left hemothorax (750 mL). ‘The direction of the projectile is right to left, slightly downward, and slightly back to front. GUNSHOT WOUND OF THE MID BACK (#10) ‘An entrance gunshot wound of the right mid back is centered 20 inches from the top of the head and | inch to the right of the posterior midline. The / inch, ovoid defect has a 1/8 inch circumferential marginal abrasion, There is no soot, stippling, or muzzle imprint on the skin, After perforating the skin and subcutaneous tissue of the right mid back, the projectile core sequentially perforates the musculature, posterior right 11" rib (3/4 inch defect), esophagus (1/4 inch defect), posterior pericardium (1/2 inch defect), posterior and anterior aspects of the left ventricle (1/2 inch defects), and remains free-floating in the pericardium. A moderately deformed, apparent medium caliber, gray metal projectile core is recovered free- floating in the pericardium. The projectile core is photographed, placed within an appropriately labeled (“bullet from paricardium”) container, and is submitted as evidence. Associated injuries include a contribution to a right hemothorax (100 mL). The pericardial sac is open. ‘The direction of the projectile is back to front, upward, and slightly right to left. GUNSHOT WOUNDS OF THE RIGHT BACK (11, #12) ‘Two entrance gunshot wounds of the right side of the back are collectively centered 15 ¥ inches from the top of the head and 7 ' inches to the right of the posterior midline. The ovoid defects measure 7/16 and 9/16 inch, respectively, and have 1/8 inch circumferential marginal abrasions. There is no soot, stippling, or muzzle imprint on the skin.19-0674 VIGIL, Joshua M. ‘After perforating the skin and subcutaneous tissue of the right side of the back, the projectiles collectively penetrate or perforate the musculature of the right side of the back, lateral right 3% rib (3/4 inch defect), upper lobe of the right lung (3/4 inch defect), esophagus (1/4 inch defect), anterior left 5" rib (where the projectile jacket becomes embedded in the overlying musculature), and penetration of the musculature of the left upper chest, ‘A moderately deformed, apparent medium caliber, gray metal projectile core is recovered from the musculature of the right side of the back, The projectile core is photographed, placed within an appropriately labeled (“projectile core from right lower back”) container, and is submitted as evidence, ‘A moderately deformed, apparent medium caliber, copper color projectile jacket is recovered from the musculature of the left side of the chest. The projectile jacket is photographed, placed within an appropriately labeled (“projectile jacket from left chest”) container, and is submitted as evidence ‘A moderately deformed, apparent medium caliber, gray metal projectile core is recovered from. the musculature of the left upper chest, The projectile core is photographed, placed within an appropriately labeled (“projectile core from upper left chest”) container, and is submitted as evidence Associated injuries include contributions to a right hemothorax (100 mL) and a left hemothorax (750 mL). The collective direction of the projectiles is back to front and right to left. GUNSHOT WOUNDS OF THE POSTERIOR RIGHT SHOULDER (#13-#15) ‘Three entrance gunshot wounds of the posterior aspect of the right shoulder are collectively centered 11 % inches from the top of the head and 8 % inches to the right of the posterior midline, The ovoid defects each measure 7/16 inch and have 1/16 inch circumferential marginal abrasions. There is no soot, stippling, or muzzle imprint on the skin. After perforating the skin and subcutaneous tissue of the posterior right shoulder, the most superior projectile (#13) perforates the musculature, subcutaneous tissue, and skin of the superior right shoulder, where the projectile core exits the body and the projectile jacket partially exits. ‘A moderately deformed, apparent medium caliber, copper color projectile jacket is collected protruding from the skin of the superior aspect of the right shoulder. The projectile jacket is photographed, placed within an appropriately labeled (“projectile jacket from right shoulder”), and is submitted as evidence. ‘A %4 inch, slightly irregular, ovoid partial exit wound is centered 9 % inches from the top of the head, 9 inches to the right of the posterior midline, and at the superior aspect of the right shoulder. ‘After perforating the skin and subcutaneous tissue of the posterior right shoulder, the middle and inferior projectiles (#14, #15) sequentially perforate the musculature of the right shoulder and penetrate the right shoulder joint. 1319-0674 VIGIL, Joshua M. A moderately deformed, apparent medium caliber, copper color projectile jacket, and gray metal projectile core are recovered from the right shoulder. ‘The projectile jacket and core are individually photographed, placed within appropriately labeled (“projectile jacket from inferior ight shoulder” and “projectile core from right shoulder”) containers, and are submitted as evidence. The wound tracks are hemorthagic and pulpified. The collective direction of the projectiles is back to front and slightly upward. GUNSHOT WOUNDS OF THE TRUNK (#16, #17) Two entrance gunshot wounds of the right lower back are collectively centered 25 % inches from the top of the head and 6 inches to the right of the posterior midline. The superior defect is ovoid and measures “4 inch and has a circumferential marginal abrasion that measures up to 3/16 inch (2:00 to 5:00 position), The inferior defect is slightly irregular and measures 9/16 inch and has an up to 1/8 inch marginal abrasion (2:00 to 5:00 position). There is no soot, stippling, or muzzle imprint on the skin. ‘After perforating the skin and subcutaneous tissue of the right lower back, the projectile cores, sequentially perforate the musculature, right kidney (1 inch and 2 inch defects), right hemidiaphragm (1 inch defects), and penetrate the right pleural cavity. ‘Two moderately deformed, apparent medium caliber, gray metal projectile cores are recovered free-floating in the right pleural cavity. The projectile cores are collectively photographed, placed within an appropriately labeled (“2 bullets from right chest cavity”) container, and submitted as evidence. Associated injuries include contributions to a hemoperitoneum (200 mL) and a right hemothorax (100 mL). The collective direction of the projectiles is back to front, upward, and slightly right to left. GUNSHOT WOUND OF THE LEFT ARM (#18) ‘An entrance gunshot wound of the posterior left arm is centered 17 ¥4 inches from the top of the head and 1 inch medial to the posterior midline of the left arm. ‘The ovoid and slightly irregular defect measures 9/16 inch. There is no soot, stippling, or muzzle imprint on the skin, ‘After perforating the skin and subcutaneous tissue of the posterior left arm, the projectile sequentially perforates the musculature, mid left humerus, and penetrates the left biceps muscle. Despite dissection of the left arm, the projectile and/or projectile fragments were unable to be recovered from the left arm. The wound track is hemorrhagic and pulpified. The direction of the projectile is back to front. GUNSHOT WOUND OF THE LEFT ARM (#19) 1419-0674 VIGIL, Joshua M, An entrance gunshot wound of the distal posterior left arm is centered 20 inches from the top of the head and at the posterior midline of the left arm. The 7/16 inch, ovoid and slightly irregular defect has small radiating lacerations, measuring up to 1/8 inch (4:00 position). There is no soot, stippling, or muzzle imprint on the skin. ‘After perforating the skin and subcutaneous tissue of the distal left arm, the projectile sequentially perforates the musculature, distal head of the left humerus, and penetrates the musculature of the distal left arm. ‘A moderately deformed, apparent medium caliber, gray metal projectile core is recovered from the medial aspect of the distal left arm. The projectile core is photographed, placed within an appropriately labeled (“projectile from left arm”) container, and is submitted as evidence. ‘The wound track is hemorthagic and pulpified, ‘The direction of the projectile is back to front. GUNSHOT WOUND OF THE LEFT FOOT (#20) ‘Anentrance gunshot wound of the medial left foot is centered 71 '4 inches from the top of the head and 2 inches medial to the anterior midline of the left foot. The ovoid defect measures 4 inch. There is no soot, stippling, or muzzle imprint on the skin. Prior to entering the left foot, the mildly deformed, apparent medium caliber, copper color projectile jacket embeds in the sock over the left foot. The projectile jacket is collected, photographed, and placed within an appropriately labeled (“projectile jacket from left foot”) container, and is submitted as evidence. ‘After perforating the skin and subcutaneous tissue of the medial left foot, the projectile core sequentially perforates the musculature and bone of the left foot and great toe, subcutaneous tissue, skin, and toenail of the left great toe before exiting, An exit gunshot wound of the left great toe is centered 73 ¥4 inches from the top of the head and 1 % inches medial to the anterior midline of the left foot. The irregular and slightly stellate defect measures 1 inch. There is no soot, stippling, or muzzle imprint on the skin, ‘The wound track is hemorrhagic and pulpified. The direction of the projectile is downward, back to front, and slightly right to left. ADDITIONAL PROJECTILE FRAGMENT RECOVERY A small fragment of copper color projectile jacket is recovered embedded in the skin of the left side of the face, The fragment is photographed, placed within an appropriately labeled (“jacket fragment from left face”) container, and is submitted as evidence. ‘A sinall fragment of copper color projectile jacket is recovered embedded in the skin of the right le of the mid back. The fragment is photographed, placed within an appropriately labeled (“projectile fragment from right mid back”) container, and is submitted as evidence. 1519-0674 VIGIL, Joshua M. A severely deformed fragment of gray metal projectile core is recovered embedded in the skin of the right upper back. ‘The fragment is photographed, placed within an appropriately labeled (“projectile core fragment from right back”) container, and is submitted as evidence. Two severely deformed, small fragments of gray metal projectile core are recovered embedded in the musculature of the medial left neck. ‘The fragments are photographed, placed within an appropriately labeled (“core fragments from medial left neck”) container, and are submitted as evidence. GRAZE-TYPE WOUNDS A % inch, horizontally oriented, graze-type wound is over the left side of the chest, centered 16 inches from the top of the head and 2 ¥ inches to the left of the anterior midline. ‘A.% inch, obliquely oriented graze-type wound is over the right upper back, centered 10 inches from the top of the head and I "4 inches to the right of the posterior midline. ‘A.1 % inch, horizontally oriented, curvilinear, graze-type wound is over the left side of the upper back, centered 10 inches from the top of the head and 1 inch to the left of the posterior midline. A 1 inch, obliquely oriented, ovoid graze-type wound with a 1/16 inch marginal abrasion (12:00 to 4:00 position) is over right side of the back, centered 13 % inches from the top of the head and 4 % inches to the right of the posterior midline. A. % inch, obliquely oriented and curved graze-type wound is over the left side of the back, centered 19 inches from the top of the head and 1 inch to the left of the posterior midline. A2 inch, horizontally oriented, graze-type wound is over the anterolateral left arm, centered 17 inches from the top of the head and 1 ‘4 inches lateral to the anterior midline of the left arm. OTHER INJURIES ‘Two 3/16 inch, ovoid abrasions involve the helix of the right ear. Two \4 inch, horizontal linear abrasions are over the posterior neck. ‘Two ¥ inch, ovoid, purple contusions are over the left elbow. A 1 4x 4 inch, irregular abrasion is over the posterior left forearm. A 2% x 1 4 inch, curvilinear abrasion is over the anteromedial left thigh. A % inch, ovoid abrasion is over the posterolateral left leg. INTERNAL EXAMINATION BODY CAVITIES: See EVIDENCE OF INJURY. The thoracic and abdominal organs are in their normal anatomic positions. The body cavities contain no adhesions or other abnormal collections of fluid. HEAD: See EVIDENCE OF INJURY. The dura and dural sinuses are unremarkable. There is no epidural, subdural, or subarachnoid hemorthages. The leptomeninges are thin and delicate. ‘The cerebral hemispheres are symmetrical, with an unremarkable gyral pattem. The cranial nerves and blood vessels are unremarkable. The brain weighs 1470 g. Sections through the cerebral hemispheres, brainstem, and cerebellum are unremarkable, ‘There are no hemorthages 1619-0674 VIGIL, Joshua M. in the deep white matter or the basal ganglia. The cerebral ventricles contain no blood. The dura is stripped from the base of the skull and reveals no fractures. The spinal cord, as viewed from the cranial cavity, is unremarkable. NECK: See EVIDENCE OF INJURY. Sectioning of the tongue reveals no contusion or other injury. The hyoid bone and laryngeal cartilages are intact. The lumen of the larynx is not obstructed. CARDIOVASCULAR SYSTEM: See EVIDENCE OF INJURY. The intimal surface of the abdominal aorta demonstrates mild atherosclerosis. The heart weighs 450 g. The aorta and its major branches and the great veins are normally distributed. The pulmonary arteries contain no thromboemboli. There are no thrombi in the atria or ventricles. ‘The foramen ovale is closed. The coronary arterial system is free of significant atherosclerosis. The cardiac valves are unremarkable. The myocardium is dark red-brown and firm, RESPIRATORY SYSTEM: See EVIDENCE OF INJURY. The upper airway is not obstructed. The laryngeal mucosa is smooth and unremarkable, without petechiae. The right lung weighs 550 g and the left lung weighs 450 g. The major bronchi are unremarkable. HEPATOBILIARY SYSTEM: The liver is covered by a smooth, glistening capsule and weighs 1800 g. The parenchyma is dark red-brown and moderately congested. The gallbladder contains approximately 20 mL of dark green bile, with no calculi GASTROINTESTINAL SYSTEM: See EVIDENCE OF INJURY. The esophageal mucosa is gray and smooth, The stomach contains approximately 50 mL of tan-brown liquid. There are no tablets or capsules. The gastric mucosa has normal rugal folds, and there are no ulcers. The small and large intestines are externally unremarkable. The appendix is present. The pancreas is unremarkable externally and upon sectioning. GENITOURINARY SYSTEM: See EVIDENCE OF INJURY. The right kidney weighs 180 g and the left kidney weighs 190 g. The renal cortices are of normal thickness, with well demarcated corticomedullary junctions. The calyces, pelves, and ureters ate unremarkable. The urinary bladder contains approximately 200 mL. of clear yellow urine. ‘The bladder mucosa is gray, smooth, and unremarkable, The prostate gland is unremarkable externally and upon sectioning. ENDOCRINE SYSTEM: The thyroid and adrenal glands are unremarkable extemally and upon sectioning. LYMPHORETICULAR SYSTEM: The spleen weighs 180 g and is covered by a smooth, blue gray, intact capsule, The parenchyma is dark red. ‘The cervical, hilar, and peritoneal lymph nodes are unremarkable. MUSCULOSKELETAL SYSTEM: See EVIDENCE OF INJURY. The clavicles and pelvis have no fractures. 7MaIA UNOS ADOA 0160 - TNUSLXa YOO — er yrs N uinars? +—\h f, BLOZPZILO-Ae BEWepueg SISK Raby SWTM40I09 hanore wre @ #1900 61:#98e0 TOR WTERISOT-oweN, 59 1°70 (rus) yrenn poysonl “r2myug am ISHToxicology Report EI Paso County Coroner's Office 2741 E, Las Vegas Street, Colorado Springs, CO 80906 719-380-2450 MAINI719-390-2462 FAX Name: VIGIL, Joshua M Case #: 19-00674 Date Received: 07/24/2019 County: EI Paso Agency#: ‘Alcohols and volatiles: Analyte ‘Specimen Result ETHANOL, Vitreous 141 mgidL. ETHANOL, Cavity Blood 211 mg/dL. immunoassay screens (ELISA): Analyte ‘Specimen Result AMPHETAMINE Urine Positive BARBITURATES ‘Urine Negative BENZODIAZEPINE ‘Urine Negative METABOLITES - COCAINEY Urine Positive BENZOYLECGONINE FENTANYL Urine Negative METHADONE. Urine Negative METHAMPHETAMINE Urine Positive OPIATES Urine Negative OXYCODONE Urine Negative THCCOOH Urine Positive ‘TRAMADOL Urine Negative TRICYCLIC Urine Negative ANTIDEPRESSANTS ZOLPIDEM Urine Negative GC-MS results (Qualitative) ‘Analyte ‘Specimen Result THCCOOH Urine Present BENZOYLECGONINE — Urine Present =| AMPHETAMINE Urine PresentName: VIGIL, Joshua M Toxicology Report EI Paso County Coroner's Office 2744 E. Las Vegas Street, Colorado Springs, CO 80906 "749-390-2450 MAIN/719-390-2462 FAX Doctor: Travis Danielsen M.D. Case #: 19-0674 Date Received: 07/24/2019 County: EI Paso Agency#: METHAMPHETAMINE Urine Present | NICOTINE Urine Present COTININE Urine Present IBUPROFEN Urine Present METABOLITES CARBAMAZEPINE Urine Present HYDROXYCHLOROQUIN Urine Present E COCAINE Urine Probable BENZOYLECGONINE Urine Present | Quantitative Results Analyte Specimen Result AMPHETAMINE, Cavity Blood 108 ng/mL. METHAMPHETAMINE Cavity Blood 780 ng/ml. COCAINE Cavity Blood None detected CARBAMAZEPINE Cavity Blood 5.4 ugimL BENZOYLECGONINE Cavity Blood. 83 ng/ml. Miscellaneous results Analyte Specimen Result Comments: Reviewed by: Werner Jenkins MS Date released: 08/22/19 Reviewed By: Travis Danielsen MD. Cc Se