Sherelle Thomas v. City of Harrisburg ( 2023 )


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  •                                    PRECEDENTIAL
    UNITED STATES COURT OF APPEALS
    FOR THE THIRD CIRCUIT
    ____________
    Nos. 21-2963, 21-2964 & 21-3018
    ____________
    SHERELLE THOMAS, Administrator of the Estate of
    Terelle Thomas; T. T., a minor, individually, as child of
    decedent Terelle Thomas and as his sole survivor
    v.
    CITY OF HARRISBURG; OFFICER DARIL FOOSE;
    OFFICER SCOTT JOHNSEN; OFFICER ADRIENNE
    SALAZAR; TRAVIS BANNING; OFFICER BRIAN
    CARRIERE; HARRISBURG CITY POLICE DEPT JOHN
    DOE POLICE OFFICERS 1-5; DAUPHIN COUNTY
    ADULT PROBATION JOHN DOE SUPERVISORY
    OFFICERS 1-5; DAUPHIN COUNTY PRISON JOHN DOE
    PRISON OFFICIALS 1-5; DAN KINSINGER; DAUPHIN
    COUNTY; PRIMECARE MEDICAL INC; PRIMECARE
    JOHN DOES MEDICAL EMPLOYEES 1-5,
    Appellants
    Appeal from the United States District Court
    for the Middle District of Pennsylvania
    (D.C. Civil Action No. 1-20-cv-01178)
    District Judge: Honorable Yvette Kane
    Argued on January 11, 2023
    Before: JORDAN, PHIPPS and ROTH, Circuit Judges
    (Opinion filed December 6, 2023)
    Sheryl L. Brown                  (ARGUED)
    Siana Law
    941 Pottstown Pike
    Suite 200
    Chester Springs, PA 19425
    Counsel for Appellants Officer Daril Foose,
    Officer Brian Carriere
    Frederick B. Buck                (ARGUED)
    Rawle & Henderson
    1500 Market Street
    19th Floor, Centre Square West
    Philadelphia, PA 19102
    Counsel for Appellants Officer Scott Johnsen,
    Officer Adrienne Salazar and Travis Banning
    2
    Kimberly A. Boyer-Cohen       (ARGUED)
    Marshall Dennehey Warner Coleman & Goggin
    2000 Market Street
    Suite 2300
    Philadelphia, PA 19103
    Counsel for Appellant Dan Kinsinger
    Kevin V. Mincey
    Riley H. Ross, III                 (ARGUED)
    Mincey Fitzpatrick Ross
    1650 Market Street
    36th Floor
    Philadelphia, PA 19103
    Counsel for Appellees
    O P I N I ON
    ROTH, Circuit Judge:
    Sherelle Thomas1 sued the City of Harrisburg;
    PrimeCare Medical, Inc.; and several individual law
    enforcement officers (the Officers) on behalf of her decedent
    1
    The plaintiffs are Sherelle Thomas as the Administrator of the
    Estate of Terelle Thomas and Terelle Thomas’s minor child.
    For convenience, we will speak of the plaintiffs/appellees in
    the singular as Sherelle Thomas.
    3
    relative, alleging that defendants failed both to render medical
    care and to intervene to prevent a violation of the right to
    medical care. The Officers moved to dismiss on grounds of
    qualified immunity. The District Court denied the motion.
    The court rejected the Officers’ claims of qualified immunity
    because it found that Sherelle Thomas alleged sufficient facts
    to state her claims and both rights were clearly established at
    the time of the violations. The Officers appealed, limited to
    the issue of qualified immunity. Because the District Court
    correctly denied the Officers’ claim of qualified immunity
    regarding their failure to render medical care claim, we will
    affirm on that issue. We conclude, however, that the District
    Court ruled incorrectly when it recognized a claim of failure to
    intervene. Because neither our Court nor the Supreme Court
    have recognized the right to intervene in the context of the
    rendering of medical care, qualified immunity for the Officers
    on this claim is appropriate and we will remand this claim to
    the District Court with instructions to dismiss it as to the
    Officers.
    I. BACKGROUND
    A. Factual Background
    Sherelle Thomas, Administrator of the Estate of Terelle
    Thomas, alleged the following: On December 14, 2019,
    Harrisburg Police Officer Daril Foose was partnered with
    Adult Probation Officer Dan Kinsinger. At approximately
    6:15 p.m., Foose observed Terrelle Thomas (Thomas) and
    another man walk from a bar and enter a vehicle as passengers.
    Foose followed the vehicle and made a traffic stop. Foose then
    noted that Thomas “spoke to her as if he had ‘cotton mouth’
    4
    and a large amount of an unknown item inside his mouth.”2
    She also observed “strands in his mouth that were almost like
    gum and paste,” that his lips were “pasty white,” and that his
    “face was covered with a white powdery substance.”3 She
    believed that Thomas had ingested something and was
    concealing it in his mouth.4 As a result, Probation Officer
    Kinsinger detained Thomas, during which time Thomas “spit
    out a white liquid.”5 Officer Foose then concluded that
    Thomas had “ingested a large amount of cocaine.”6 However,
    Thomas told Officer Foose “that the only drugs on his person
    was a small amount of marijuana and that his lips were white
    because he had consumed a candy cigarette.”7 Officer Foose
    quickly concluded this was a lie because she “observed cocaine
    rocks fall out of . . . Thomas’s shirt . . . and she failed to find
    any candy cigarettes.”8
    During Thomas’s detention, four additional officers
    (Corporal Scott Johnsen and Officers Adrienne Salazar, Travis
    Banning, and Brian Carriere) arrived at the scene. Probation
    2
    Appx. 071.
    3
    Appx. 071.
    4
    See Appx. 102 (Officer Foose stated that Thomas spit out “a
    white liquid that resembled crack cocaine attempted (sic) to be
    swallowed” and that “Thomas’s mouth indicted (sic) to me that
    he had ingested a large amount of cocaine.”).
    5
    Appx. 071.
    6
    Appx. 071.
    7
    Appx. 072.
    8
    Appx. 072. The Officers found additional crack cocaine
    rocks in the car where he had been sitting, as well as a digital
    scale with cocaine residue on it and a clear plastic baggie with
    marijuana inside it.
    5
    Officer Kinsinger and Officer Foose informed each officer that
    they believed that Thomas had ingested cocaine. Officer
    Salazar independently arrived at the same conclusion after
    observing a white powdery substance covering Thomas’s lips,
    and informed Thomas that ingesting cocaine could have an “ill
    effect” on Thomas’s health.9              Corporal Johnsen
    “acknowledged the seriousness of ingesting cocaine by
    warning . . . Thomas that he could possibly die from ingesting
    drugs.”10 Officer Banning also observed a “large amount of
    white residue around and on . . . Thomas’ lips,” and did not
    find any evidence of candy cigarettes.11 Based on their
    observations, the Officers filed police reports indicating
    Thomas’s cocaine ingestion, and Officer Foose prepared and
    signed an Affidavit of Probable Cause noting that she had
    observed Thomas consume “crack cocaine in order to conceal
    it from police.”12
    The Officers jointly determined that Thomas should be
    transferred to Dauphin County Booking Center at the Dauphin
    County Prison for detention and processing. Dauphin County
    contracts with PrimeCare to provide limited medical care to
    individuals at Dauphin County Prison. PrimeCare does not
    have hospital features such as x-ray or CT machines but instead
    transfers individuals to a nearby hospital for testing and
    treatment. In addition, Harrisburg Police Department policy
    dictates that officers take arrestees to the hospital if the
    arrestees have “consumed illegal narcotics in a way that could
    9
    Appx. 072–73.
    10
    Appx. 072.
    11
    Appx. 073.
    12
    Appx. 115.
    6
    jeopardize their health and welfare.”13 Despite this policy and
    the observations noted above, the Officers did not take Thomas
    to the hospital. Instead, Officer Carriere arrested Thomas and
    transported him to Dauphin County Booking Center. En route,
    Thomas told Officer Carriere that he was hot despite an
    outdoor temperature of 46 degrees.14 Officer Carriere opened
    the window.
    Upon arrival at the Dauphin County Booking Center,
    Officer Carriere informed prison officials and medical staff
    there that Thomas “may have swallowed crack cocaine.”15 The
    officials and PrimeCare staff noted that Thomas had white
    powder covering his lips, but they also failed to send Thomas
    to a hospital. Instead, the officials placed Thomas in a cell
    without any medical care or observation. Less than two hours
    after Thomas’s arrest, surveillance video showed Thomas
    falling backwards onto the floor, hitting his head, and suffering
    cardiac arrest. Only then did officials transport Thomas to
    UPMC Pinnacle Harrisburg Hospital, where he died three days
    later. His cause of death was “cocaine and fentanyl toxicity.”16
    B. Procedural History
    Sherelle Thomas sued numerous parties after her
    relative’s death. Several defendants moved to dismiss the
    Complaint, and the District Court granted the motions.
    13
    Appx. 075.
    14
    Thomas also alerted Officer Carriere of his seizure disorder.
    15
    Appx. 078.
    16
    Appx. 079. Officer Foose was advised that medical
    personnel “sucked 40 ml of cocaine out of Thomas enroute to
    the hospital that he had ingested.” Appx. 103.
    7
    Sherelle Thomas then filed an Amended Complaint. The
    Amended Complaint asserted various state and federal claims
    against several defendants, including the Officers. Only Count
    IV (Fourteenth Amendment; Failure to Render Medical Care)
    and Count I (Fourteenth Amendment; Failure to Intervene) are
    relevant to this appeal.
    The Amended Complaint drew six motions to dismiss
    and one motion for judgment on the pleadings and three other
    motions, each of which the District Court denied in full.17 As
    relevant to this appeal, the District Court found that the
    Officers were not entitled to qualified immunity on the failure
    to intervene and failure to render medical care claims because
    the rights are clearly established, and the Amended Complaint
    states facts sufficient to allege that the Officers violated these
    rights. Officers Johnsen, Salazar, Banning, Foose, and
    Carriere, and Probation Officer Kinsinger filed a collateral
    appeal, limited to the issue of qualified immunity.
    II.    JURISDICTION
    The District Court had subject matter jurisdiction under
    
    28 U.S.C. §§ 1331
     and 1343(a)(3). Sherelle Thomas moved to
    dismiss this appeal for lack of appellate jurisdiction. We will
    deny the motion because “a district court’s denial of a claim of
    qualified immunity, to the extent that it turns on an issue of
    law, is an appealable ‘final decision’ within the meaning of 
    28 U.S.C. § 1291
     notwithstanding the absence of a final
    17
    During the pendency of the motions, Sherelle Thomas
    requested to voluntarily dismiss the City of Harrisburg from
    the suit. As a result, the District Court dismissed the claims
    against the City of Harrisburg with prejudice.
    8
    judgment.”18 Accordingly, we have jurisdiction under § 1291.
    III.   DISCUSSION
    The Officers contend that they are entitled to qualified
    immunity on the failure to render medical care and failure to
    intervene claims. We review a district court’s denial of a
    motion to dismiss on qualified immunity grounds de novo “as
    it involves a pure question of law.”19 In doing so, we must
    accept Sherelle Thomas’s allegations as true and draw all
    inferences in her favor.20
    At the motion to dismiss stage, federal and state
    officials are entitled to qualified immunity unless (1) the “facts,
    taken in the light most favorable to the plaintiff, demonstrate a
    constitutional violation,”21 and (2) the alleged right was clearly
    established at the time of the violation.22 Because Sherelle
    Thomas alleged a violation of the constitutional right to
    18
    Mitchell v. Forsyth, 
    472 U.S. 511
    , 530 (1985). See also
    Ashcroft v. Iqbal, 
    556 U.S. 662
    , 672 (2009) (“[A] district
    court’s order rejecting qualified immunity at the motion-to-
    dismiss stage of a proceeding is a ‘final decision’ within the
    meaning of § 1291.”); Dennis v. City of Philadelphia, 
    19 F.4th 279
    , 285 (3d Cir. 2021) (holding that the denial of a motion to
    dismiss based on qualified immunity can be a reviewable
    collateral order).
    19
    Dennis, 19 F.4th at 284 (quoting James v. City of Wilkes–
    Barre, 
    700 F.3d 675
    , 679 (3d Cir. 2012)).
    20
    
    Id.
     (citing George v. Rehiel, 
    738 F.3d 562
    , 571 (3d Cir.
    2013)).
    21
    Couden v. Duffy, 
    446 F.3d 483
    , 492 (3d Cir. 2006).
    22
    Ashcroft v. al-Kidd, 
    563 U.S. 731
    , 735 (2011).
    9
    medical care, made applicable in this case to all the Officers
    due to their knowledge of Thomas’s obvious consumption of a
    large amount of cocaine, the Officers are not entitled to
    qualified immunity on the claim of failure to render medical
    care. However, the District Court erred in finding that the
    failure to intervene claim involved a constitutional violation.
    We have not recognized a cause of action for such a purported
    constitutional violation.
    A. Failure to Render Medical Care23
    1. Violation of the Constitutional Right to Medical
    Care
    To plead a violation of the right to medical care, an
    individual must allege (1) “a serious medical need” and (2)
    “acts or omissions by [individuals] that indicate a deliberate
    indifference to that need.”24 A serious medical need is “one
    that has been diagnosed by a physician as requiring treatment
    23
    As a basic legal standard, the Supreme Court has held that
    the Eighth Amendment protects a prisoner’s serious medical
    needs. Estelle v. Gamble, 
    429 U.S. 97
    , 103–04 (1976).
    Because the Fourteenth Amendment affords pretrial detainees
    protections at least as great as those available to inmates under
    the Eighth Amendment, we will review Sherelle Thomas’s
    claims for failure to render medical care under the Fourteenth
    Amendment by applying the same standard used to evaluate
    claims brought under the Eighth Amendment. See Natale v.
    Camden Cnty. Corr. Facility, 
    318 F.3d 575
    , 581–82 (3d Cir.
    2003).
    24
    Natale, 
    318 F.3d at 582
    ; Rouse v. Plantier, 
    182 F.3d 192
    ,
    197 (3d Cir. 1999).
    10
    or one that is so obvious that a layperson would easily
    recognize the necessity for a doctor’s attention.”25 Deliberate
    indifference is a subjective standard consistent with
    recklessness.26 It requires both that an individual be aware of
    facts from which the inference could be drawn of a substantial
    risk and that the individual actually draws that inference.27 In
    inadequate medical care cases, we have specifically found
    deliberate indifference where objective evidence of a serious
    need for care is ignored and where “necessary medical
    treatment is delayed for non-medical reasons.”28
    We will look to the allegations of the Complaint to
    determine the adequacy of Sherelle Thomas’s pleading of such
    a violation. She described numerous facts demonstrating a
    serious medical need. The facts she has alleged support the
    position that a layperson in the Officers’ situation29 would have
    been aware both of the danger of cocaine ingestion and of the
    fact that Thomas had ingested cocaine.
    As set forth in the Amended Complaint, Officer Foose’s
    statements to Officers Salazar, Banning, and Carriere, as well
    as her signed Affidavit of Probable Cause, are sufficient to
    25
    Monmouth Cnty. Corr. Inst. Inmates v. Lanzaro, 
    834 F.2d 326
    , 247–48 (3d Cir. 1987) (quoting Pace v. Fauver, 
    479 F.Supp. 456
    , 458 (D.N.J.1979), aff’d, 
    649 F.2d 860
     (3d Cir.
    1981)).
    26
    Natale, 
    318 F.3d at 582
    .
    27
    
    Id.
    28
    
    Id.
     (quoting Lanzaro, 
    834 F.2d at 347
    ).
    29
    Qualified immunity is an individual defense so that we
    independently analyze the conduct of each officer. Rouse, 
    182 F.3d at 200
    .
    11
    support the allegation that Officer Foose believed that Thomas
    ingested cocaine.       Her belief was based on multiple
    observations of Thomas: a large amount of an unknown
    substance was in his mouth, his lips were pasty white, his face
    was covered with a white powdery substance, cocaine rocks
    fell from his shirt, and his candy cigarette explanation was not
    plausible.30 She also observed him spit out a “white liquid that
    resembled crack cocaine attempted (sic) to be swallowed.”31
    The Amended Complaint also alleged that Officers
    Johnsen, Salazar, Banning, and Carriere and Probation Officer
    Kinsinger believed that Thomas had ingested a significant
    quantity of cocaine. A layperson would have known that
    created a serious medical need. Like Officer Foose, Probation
    Officer Kinsinger notified another officer of this belief after
    observing Thomas. Officer Salazar also observed a white
    powdery substance on Thomas’s lips, and both Officers
    Salazar and Johnsen verbalized their belief that Thomas had
    ingested cocaine. Officer Banning observed a “large amount
    of white residue around and on his lips” and found no evidence
    of candy cigarettes.32 Moreover, after Officer Carriere was
    30
    At oral argument, the Officers suggested that Thomas may
    have consumed a small amount of cocaine and thus there was
    no serious medical need. However, at this stage, we must
    accept Sherelle Thomas’s pleaded facts and take all inferences
    in her favor. As a result, we rely on the contention that Thomas
    consumed a large amount of cocaine, witnessed by various
    Officers.
    31
    Appx. 102.
    32
    Appx. 106. Cf. Watkins v. Battlecreek, 
    273 F.3d 682
    , 686
    (6th Cir. 2001) (rejecting claim of serious medical need and
    deliberate indifference at the summary judgment stage where
    12
    notified by the other officers that Thomas had ingested
    cocaine, Thomas told Officer Carriere that he was overheating
    despite the cold weather outside, an indication that he was in
    physical distress and in need of medical attention. In view of
    the above allegations, the Officers cannot credibly argue that
    Thomas’s denial that he ingested cocaine, taken in the light
    most favorable to Sherelle Thomas, would negate the
    conclusion that a layperson would believe that he had, in fact,
    ingested a significant amount of cocaine and therefore had a
    serious medical need. Ironically, an arrestee, who consumed
    drugs for the purpose of concealing them, would probably deny
    having done so.
    Having established objective evidence of a serious
    medical need, the Amended Complaint alleged facts to support
    that the Officers were deliberately indifferent to that need.
    First, each Officer was aware of numerous facts from which
    one could draw an inference of a substantial risk to Thomas’s
    health. In view of the undisputed evidence of record, the
    Officers fail in their argument that Thomas’s alleged lack of
    observable symptoms negate the facts from which an inference
    of a substantial risk to Thomas’s health could be drawn.
    Second, the Complaint alleges that each Officer actually
    drew the inference of a substantial risk to Thomas’s health.
    Cocaine ingestion poses an obvious health risk,33 and the
    officers did not witness ingestion and decedent “provided
    rational explanations for his behavior”).
    33
    Rhinehart v. Scutt, 
    894 F.3d 721
    , 738 (6th Cir. 2018) (“A
    jury is entitled to ‘conclude that a prison official knew of a
    substantial risk from the very fact that the risk was obvious.’
    And if a risk is well-documented and circumstances suggest
    13
    Amended Complaint asserts that at least two officers, Corporal
    Johnsen and Officer Salazar, publicly drew such an inference
    in the presence of the other Officers, acknowledging that
    ingestion could lead to an “ill effect” on health or to death.34
    The Complaint alleges adequate circumstantial evidence to
    suggest that the remaining officers made, or should have made,
    a similar inference.
    Finally, the Complaint alleges that the Officers ignored
    evidence of this risk and delayed medical care by deciding to
    book Thomas and by taking him to a booking center that was
    ill-equipped to handle emergencies. Moreover, this decision
    was in direct violation of the department policy cited in the
    Complaint, which states that individuals who have consumed
    narcotics should be taken to the hospital if the narcotic
    consumed could jeopardize their health.35
    that the official has been exposed to information so that he
    must have known of the risk, the evidence is sufficient for a
    jury to find that the official had knowledge.” (citation omitted)
    (quoting Farmer v. Brennan, 
    511 U.S. 825
    , 842–43 (1994))).
    34
    Appx. 072–073.
    35
    Other police departments have similar policies,
    demonstrating a broad view of narcotic ingestion as a serious
    medical need. See, e.g., New York City Police Department,
    Patrol Guide:        Prisoners Requiring Medical/Psychiatric
    Treatment       5     (Jun.      1,   2016),     available     at
    https://www.nyc.gov/html/ccrb/downloads/pdf/pg210-04-
    prisoner-requiring-medical-psychiatric-treatment.pdf (“When
    a uniformed member of the service observes or suspects that a
    prisoner has ingested a narcotic or other dangerous substance,
    the prisoner will be transported from the place of arrest
    DIRECTLY to the nearest hospital facility . . . UNDER NO
    14
    These facts distinguish this case from those the Officers
    cite in opposition to a holding that there was a constitutional
    violation. Most of these cases involved officers who
    demonstrated no actual belief of narcotic ingestion or officers
    who failed to draw an inference of substantial risk.36 Because
    there are sufficient allegations here from which to find
    deliberate indifference, as well as a serious medical need,
    Sherelle Thomas has plausibly alleged a violation of the right
    to medical care.
    2. Clearly Established Right
    However, before the Officers can be denied qualified
    immunity from being sued for deliberate indifference to a
    serious medical need, the constitutional right violated must be
    clearly established.37 In other words, qualified immunity
    operates “to ensure that before officers are subjected to suit,
    CIRCUMSTANCES will a prisoner who has ingested a
    narcotic or other dangerous substance be transported to the
    command for arrest processing prior to receiving medical
    treatment.”).
    36
    See, e.g., Nykiel v. Borough of Sharpsburg, 
    778 F. Supp. 2d 573
    , 585 (W.D. Pa. 2011) (rejecting claim on summary
    judgment where one sole fact, witnessed by one officer,
    suggested cocaine ingestion and officers requested medical
    assistance once observing additional signs of overdose);
    Watkins, 273 F.3d at 686 (finding qualified immunity on
    summary judgment where the evidence did not sufficiently
    establish that any of the officers believed that the decedent
    swallowed drugs).
    37
    Saucier v. Katz, 
    533 U.S. 194
    , 201, 206 (2001).
    15
    they are on notice their conduct is unlawful.”38
    The District Court properly recognized the “right to
    medical care for persons in custody of law enforcement.”39
    The Supreme Court has established such a right, as have we.40
    There has not yet, however, been a recognition by this Court of
    the right to medical care after the ingestion of drugs. That then
    is the issue that we must determine here: Has such a right been
    clearly established?
    The Officers suggest we should articulate the right as
    follows:
    whether Mr. Thomas had a constitutional right
    established “beyond debate” to be taken to a
    hospital emergency room for treatment when
    none of the officers witnessed him ingest drugs,
    he repeatedly denied cocaine ingestion even
    when warned it could cause his death, his
    companions denied seeing cocaine, he denied
    experiencing symptoms consistent with cocaine
    or fentanyl toxicity, he did not request medical
    care, showed no overt signs of being in medical
    distress and was taken directly to the prison
    booking center where he was assessed medically
    38
    
    Id. at 202, 206
     (explaining that a right is clearly established
    when “it would be clear to a reasonable officer that his conduct
    was unlawful in the situation he confronted”).
    39
    See Appx. 030.
    40
    See DeShaney v. Winnebago Cnty. Dep’t of Soc. Servs., 
    489 U.S. 189
    , 198, 200 (1989); Estelle, 
    429 U.S. at
    103–04; Natale,
    
    318 F.3d at 582
    ; Lanzaro, 
    834 F.2d at 347
    .
    16
    and cleared by the prison’s medical staff to
    remain.41
    The law, however, does not require such specificity.
    Although the Officers are correct that the right must be defined
    beyond a high level of generality,42 there need not be “a case
    directly on point for a right to be clearly established.”43 “‘A
    public official,’ after all, ‘does not get the benefit of “one
    liability-free violation” simply because the circumstance of his
    case is not identical to that of a prior case.’”44 Instead, the law
    requires only that the right “is sufficiently clear that a
    reasonable official would understand that what he is doing
    violates that right.”45 That standard is met when a violation is
    “so obvious” it becomes likewise evident that a clearly
    established right is in play, “even in the absence of closely
    analogous precedent.”46 As a result, qualified immunity is not
    appropriate when the case in question presents “extreme
    circumstances” to which “a general constitutional rule already
    identified in the decisional law may apply with obvious
    clarity.”47 That is the case before us.
    41
    Br. of Appellants Johnsen, Salazar, and Banning 25.
    42
    See Mullenix v. Luna, 
    577 U.S. 7
    , 12 (2015).
    43
    Rivas-Villegas v. Cortesluna, 
    142 S. Ct. 4
    , 7–8 (2021)
    (quoting White v. Pauly, 
    580 U.S. 73
    , 79 (2017)).
    44
    Mack v. Yost, 
    63 F.4th 211
    , 233 (3d Cir. 2023) (quoting
    Peroza-Benitez v. Smith, 
    994 F.3d 157
    , 166 (3d Cir. 2021)).
    45
    
    Id. at 231
     (quoting Peroza-Benitez, 994 F.3d at 165); Pauly,
    580 U.S. at 79–80 (noting that “general statements of the law
    are not inherently incapable of giving fair and clear warning”).
    46
    Mack, 63 F.4th at 232 (quoting Schneyder v. Smith, 
    653 F.3d 313
    , 330 (3d Cir. 2011)).
    47
    Brosseau v. Haugen, 
    543 U.S. 194
    , 199 (2004); Hope v.
    17
    We may rely on general principles to find that the facts
    here present a violation that is “so obvious” “that every
    objectively reasonable government official facing the
    circumstances would know that the [Officers’] conduct. . .
    violate[d] federal law when [they] acted.”48 In such a case,
    “general standards can ‘clearly establish’ the answer, even
    without a body of relevant case law.”49 In other words,
    “officials can still be on notice that their conduct violates
    established law even in novel factual circumstances.”50
    As applied to the facts of this case, we hold therefore
    that when an officer is aware of the oral ingestion of narcotics
    by an arrestee under circumstances suggesting the amount
    consumed was sufficiently large that it posed a substantial risk
    to health or a risk of death, that officer must take reasonable
    steps to render medical care.51 In this case, that care would
    Pelzer, 
    536 U.S. 730
    , 741 (2002).
    48
    Mack, 63 F.4th at 232 (quoting Schneyder, 653 F.3d at 330).
    49
    Brosseau, 
    543 U.S. at 199
    .
    50
    Hope, 536 U.S. at 741.
    51
    See DeShaney, 489 U.S. at 198, 200; Estelle, 
    429 U.S. at
    103–04; Natale, 
    318 F.3d at 582
    ; Lanzaro, 
    834 F.2d at 347
    ;
    Sandoval v. County of San Diego, 
    985 F.3d 657
    , 680 (9th Cir.
    2021) (deriving the right to medical care following the
    ingestion of narcotics from the general right to medical care);
    Reynolds v. Mun. of Norristown, No. 15-cv-0016, 
    2019 WL 1429550
    , at *8–10 (E.D. Pa. Mar. 28, 2019); de Tavarez v. City
    of Fitchburg, 
    2014 WL 533889
    , at *4 (D. Mass. Feb. 6, 2014)
    (holding that it is obvious that the right to medical care requires
    officers to provide medical care to those who ingested
    narcotics); Border v. Trumbull Cnty. Bd. Of Comm’rs, 414
    F.App’x 831, 839 (6th Cir. 2011) (establishing right to medical
    18
    have been to take the arrestee to a hospital, as provided for in
    the Harrisburg Police Department policy.52
    For the above reasons we will affirm the District Court’s
    denial the Officers’ claims for qualified immunity.
    B. Failure to Intervene
    The Officers contend that the District Court improperly
    denied their motion to dismiss because (1) Sherelle Thomas
    cannot adequately plead a violation of failure to intervene to
    prevent a violation of the right to medical care where no such
    cause of action exists and (2) there is no clearly established
    right to intervention in the context of medical care.
    The District Court does not directly address whether
    individuals have a clearly established right to intervention. We
    agree with the Officers that we have not recognized any such
    right, nor has the Supreme Court. Though we have recognized
    a right to have a government actor intervene when the
    underlying constitutional violation involves excessive force or
    sexual assault of a person in custody or detention, we have
    since concluded that our precedent does not establish, let alone
    clearly establish, a right to intervention in other contexts.53
    care where prisoner showed signs that he was intoxicated).
    52
    See Hope, 536 U.S. at 741–42 (relying on general principles
    coupled with Department of Corrections regulations and
    reports to find that the violation was obvious).
    53
    Weimer v. County of Fayette, 
    972 F.3d 177
    , 190–91 (3d Cir.
    2020) (finding that the right to intervene, which exists against
    uses of excessive force, has not been clearly extended to
    intervention to prevent unconstitutional investigations); see
    19
    Because there is no clearly established right to
    intervention in the medical context, we need not address the
    Officers’ contention that Sherelle Thomas has failed to
    plausibly allege a violation of such a right.54 55
    Because there is not a clearly established right to
    intervention to prevent a violation of the right to medical care,
    the Officers are entitled to qualified immunity as to Sherelle
    Thomas’s failure to intervene claim.
    IV.    CONCLUSION
    For the foregoing reasons, we will affirm in part and
    also Ricks v. Shover, 
    891 F.3d 468
    , 479 (3d Cir. 2018)
    (extending the right to intervention to the “right to be protected
    by state officials aware of ongoing sexual assault” in a case
    dealing with a prisoner); E.D. v. Sharkey, 
    928 F.3d 299
    , 307–
    08 (3d Cir. 2019) (“agree[ing] that a[n immigration] detainee’s
    right to be protected by state officials aware of ongoing sexual
    assault was clearly established”).
    54
    Pearson v. Callahan, 
    555 U.S. 223
    , 236 (2009).
    55
    Because in the process of considering qualified immunity,
    we have determined that we have not recognized a
    constitutional duty to intervene to prevent the violation of the
    right to medical care, we will remand this claim to the District
    Court with instructions to dismiss it.
    Moreover, on the facts here, a claim for failure to
    intervene would be almost identical to the underlying claim of
    failure to render medical care: It would have been virtually
    impossible for any of the Officers to have had knowledge of an
    ongoing violation of a right to medical care without themselves
    participating in that violation.
    20
    reverse in part the District Court’s order denying qualified
    immunity.
    21
    

Document Info

Docket Number: 21-2963

Filed Date: 12/6/2023

Precedential Status: Precedential

Modified Date: 12/6/2023