Karen Fitzgerald v. M. Santoro , 707 F.3d 725 ( 2013 )


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  •                               In the
    United States Court of Appeals
    For the Seventh Circuit
    No. 12-1487
    K AREN F ITZGERALD ,
    Plaintiff-Appellant,
    v.
    O FFICER M. S ANTORO , O FFICER B. C RAM,
    P ARAMEDIC D. A SHCROFT, and U NKNOWN O FFICERS AND
    P ARAMEDICS OF THE V ILLAGE OF S CHAUMBURG ,
    Defendants-Appellees.
    Appeal from the United States District Court
    for the Northern District of Illinois, Eastern Division.
    No. 11 C 388—Elaine E. Bucklo, Judge.
    A RGUED S EPTEMBER 19, 2012—D ECIDED F EBRUARY 7, 2013
    Before B AUER, K ANNE, and W OOD , Circuit Judges.
    K ANNE, Circuit Judge. On February 5, 2010, Karen Fitz-
    gerald had a few drinks to help her unwind from a stress-
    ful day, mistakenly phoned a local police dispatch
    line, and, due to what the officer interpreted as suicidal
    statements, was eventually taken to a local hospital
    against her will. The events of the evening left her with a
    2                                             No. 12-1487
    severely broken wrist that required multiple surgeries
    to repair. She brought this lawsuit against various
    police officers and paramedics who were with her that
    night, in an attempt to recoup some measure of damages
    for what she feels were their unconstitutionally unrea-
    sonable actions. The district court concluded otherwise
    and granted summary judgment to the defendants. Be-
    cause we find that the defendants were indeed entitled
    to judgment as a matter of law, we affirm.
    I. B ACKGROUND
    February 5, 2010 was an exhausting day for Karen
    Fitzgerald, and it came in the midst of what seems to
    have been a troublesome period for her in general. She
    had not eaten since the previous day and had not slept
    in three days. (R. at 121.) Then, on top of it all, Fitz-
    gerald’s telephone and internet service went out. AT&T
    was called, and a repairman dispatched. In a display of
    customer service that seems admirable in hindsight,
    but was no doubt tiresome at the time, the repairman
    stayed in Fitzgerald’s condominium until after mid-
    night to resolve the problem. After the repairman finally
    left, Fitzgerald tried to relax by drinking some wine.
    Feeling “down,” (Appellant’s Br. at 4), and “very ag-
    gravated by a number of things,” (R. at 120), Fitzgerald
    attempted to call a help line at the Northwest Com-
    munity Hospital that “allows you to speak to somebody
    for 45 minutes,” (R. at 120.)
    Rather than calling the help line, however, Fitzgerald
    called the non-emergency number for the Palatine, Illinois
    No. 12-1487                                               3
    Police Department. And, instead of reaching somebody
    “to talk about [the] silly things that [were] aggravating”
    her, (R. at 120-21), Fitzgerald found herself talking to
    the Palatine P.D.’s late-night desk officer. She proceeded
    to talk to the desk officer anyway. Though Fitzgerald
    denied suicidal thought or intention, the desk officer
    contacted the Schaumburg Police Department (in whose
    jurisdiction Fitzgerald lived) and described a “very de-
    pressed,” possibly suicidal, intoxicated female caller.
    (Dispatch Radio Transmission audio recording.) Officers
    Bruce Cram and Marc Santoro, and Paramedics David
    Ashcroft and Tom Blair,1 were swiftly dispatched
    to Fitzgerald’s condominium. During the dispatch, the
    Palatine officer—who was still on the phone with Fitz-
    gerald—stayed on the line with Schaumburg as well.
    The Schaumburg dispatcher informed the officers that
    Fitzgerald had recently miscarried and that Fitzgerald
    had made suicidal statements to the Palatine desk offi-
    cer. As the officers approached the building, Fitz-
    gerald abruptly hung up on the Palatine desk officer.
    This information was quickly relayed to the officers.
    The specifics of the officers’ entry are disputed, but, at
    this stage of the proceedings, we must presume that
    Fitzgerald’s description of a warrantless, forced entry is
    accurate. Sutherland v. Wal-Mart Stores, Inc., 
    632 F.3d 990
    ,
    993 (7th Cir. 2011). Upon entering the apartment, the
    officers and paramedics encountered a Fitzgerald they
    described as unsteady on her feet and slurring her
    1
    Blair is not a party to this case.
    4                                                 No. 12-1487
    words. Seeing a used wine glass nearby, they concluded
    that Fitzgerald was intoxicated.2 Over the course of the
    next thirty minutes, the officers and paramedics spoke
    with Fitzgerald on her couch. She denied wanting to
    harm herself, but admitted to being upset and told
    them that she had been taking anti-depressants. At some
    point during this discussion, Officer Santoro left the
    condo to call the dispatcher back and confirm what
    Fitzgerald had said to the Palatine desk officer. The
    dispatcher confirmed that Fitzgerald had made suicidal
    statements. At this point, the officers and paramedics
    decided that Fitzgerald was a potential harm to herself.
    They, along with Fitzgerald, unsuccessfully attempted
    to contact several of Fitzgerald’s friends who could have
    stayed with her. The decision was then made to
    take Fitzgerald to the hospital.
    Fitzgerald resisted this decision and made it clear to
    the officers that she would not go to the hospital volun-
    tarily. As the officers tried to take her to the gurney,
    she “scream[ed] at the top of [her] lungs” and physically
    resisted. (R. at 131.) Fitzgerald described being grabbed
    “forcefully” by three people and dragged from her
    home while she tried to pull away from them and “free
    [her]self.” (R. at 130.) Officer Cram used a technique
    called an “arm bar” and Officer Santoro used a “wrist lock”
    2
    Fitzgerald disputes that she actually was intoxicated. For
    reasons we explain later, we do not credit her argument.
    Nevertheless, it is undisputed that the officers and paramedics
    thought she was intoxicated and that they described various
    indicia that reasonably led them to this conclusion.
    No. 12-1487                                                     5
    in attempts to de-escalate the situation and move Fitz-
    gerald to the gurney.3 Eventually, the officers and para-
    medics lifted Fitzgerald onto the stretcher; once there,
    they handcuffed her right hand to the stretcher. Fitz-
    gerald complained that the cuff was too tight, and
    Officer Santoro loosened it. They then wheeled her to
    the ambulance.
    Inside the ambulance, Fitzgerald’s resistance contin-
    ued. She attempted to wrest her hand out of the hand-
    cuff and to get out of the safety straps. She apparently
    had some measure of success. Officer Cram attempted
    to secure her again by using a wrist lock on her right
    wrist. Fitzgerald also remembers another hand grabbing
    her right arm further up. At that point, Fitzgerald used
    her left hand to attempt to free her right arm from
    Officer Cram’s hold.4 What followed has been variously
    3
    Appellees describe an “arm bar” as a “control technique
    where the officer takes the subject’s wrist in one hand and places
    the other hand above the subject’s elbow. The arm is then
    rotated slightly forward and pulled slightly back to prevent
    the subject from bending the elbow and shoulder joints.”
    (Appellees’ Br. at 6.) That description is not contested.
    Appellees describe a “wrist lock” as a “control technique
    where the officer holds onto the subject’s wrist, bending the
    wrist downwards towards the subject’s palm, and holds it in
    a 90-degree angle with the subject’s arm.” (Appellee’s Br. at 6.)
    That description is also not contested.
    4
    In her deposition, Fitzgerald described this as “probably”
    what happened, though she equivocated on the sequence of
    (continued...)
    6                                               No. 12-1487
    described by the individuals in the ambulance as a “snap-
    ping sound,” (R. at 250) or “two crunches,” (R. at 141),
    coming from Fitzgerald’s right wrist. Her active re-
    sistence ceased, and Fitzgerald was given ice for her
    wrist. Once at the hospital, Fitzgerald was diagnosed
    with fractures of both her right radius and ulna. Multiple
    surgeries, as well as various rods and pins, were required
    to repair the injury.
    Fitzgerald presented three potential wrongs to the
    district court for which she argued she deserved to be
    compensated: (1) the defendants’ warrantless entry
    into her apartment; (2) her unreasonable seizure at the
    defendants’ hands; and (3) the defendants’ use of exces-
    sive force in effectuating that seizure. This third claim
    can be separated further into the force used in her
    building and the force used in the ambulance. Fitzgerald
    couched her claims under the Fourth Amendment and
    
    42 U.S.C. § 1983
    . The district court granted summary
    judgment for the defendants, and Fitzgerald timely
    filed this appeal. We address her claims in order below.
    II. A NALYSIS
    “We review a district court’s grant of summary judgment
    de novo, drawing all reasonable inferences and viewing
    4
    (...continued)
    events (or various events’ existence) throughout. (Dep.
    at 161.) Based partially on the defendants’ corroborating
    testimony on this point, we credit Fitzgerald’s description.
    No. 12-1487                                              7
    all facts in favor of the non-moving party.” Gordon v.
    FedEx Freight, Inc., 
    674 F.3d 769
    , 772 (7th Cir. 2012).
    “However, our favor toward the nonmoving party does
    not extend to drawing inferences that are supported by
    only speculation or conjecture.” Harper v. C.R. Eng., Inc.,
    
    687 F.3d 297
    , 306 (7th Cir. 2012) (internal brackets
    and quotation marks omitted). Summary judgment is
    appropriate only if “there is no genuine dispute as to
    any material fact and the movant is entitled to judg-
    ment as a matter of law.” Fed. R. Civ. P. 56(a). Thus, to
    survive summary judgment, the non-moving party
    must establish some genuine issue for trial “such that a
    reasonable jury could return a verdict” in her favor.
    Makowski v. SmithAmundsen LLC, 
    662 F.3d 818
    , 822 (7th
    Cir. 2011) (quoting Anderson v. Liberty Lobby, Inc., 
    477 U.S. 242
    , 248 (1986)).
    A. Warrantless Entry
    The Fourth Amendment protects “[t]he right of the
    people to be secure in their persons, houses, papers, and
    effects, against unreasonable searches and seizures.”
    U.S. Const. amend. IV. “It is axiomatic that the physical
    entry of the home is the chief evil against which the
    wording of the Fourth Amendment is directed. And a
    principal protection against unnecessary intrusions into
    private dwellings is the warrant requirement imposed
    by the Fourth Amendment.” Welsh v. Wisconsin, 
    466 U.S. 740
    , 748 (1984) (internal citation and quotation marks
    omitted). Thus, generally speaking, warrantless searches
    and seizures “are per se unreasonable under the Fourth
    Amendment—subject only to a few specifically estab-
    8                                                   No. 12-1487
    lished and well-delineated exceptions.” Mincey v. Arizona,
    
    437 U.S. 385
    , 390 (1978); accord United States v. Henderson,
    
    536 F.3d 776
    , 779 (7th Cir. 2008). One of these “well-delin-
    eated exceptions” is the existence of exigent circumstances;
    “warrantless entry by criminal law enforcement officials
    may be legal when there is compelling need for official
    action and no time to secure a warrant.” Michigan v.
    Tyler, 
    436 U.S. 499
    , 509 (1978); United States v. Fiasche,
    
    520 F.3d 694
    , 698 (7th Cir. 2008). Reasonable fear for
    the safety of a person inside a premises is one such
    exigent circumstance. United States v. Richardson, 
    208 F.3d 626
    , 629 (7th Cir. 2000); United States v. Arch, 
    7 F.3d 1300
    , 1303 (7th Cir. 1993). The watchword in the
    preceding sentence is “reasonable.” “A police officer’s
    subjective belief that exigent circumstances exist is insuf-
    ficient to justify a warrantless search[;]. . . [i]nstead[,]. . .
    this Court conducts an objective review. . . [and] we ask
    whether a reasonable officer had a reasonable belief
    that there was a compelling need to act and no time to
    obtain a warrant.” Bogan v. City of Chicago, 
    644 F.3d 563
    ,
    571 (7th Cir. 2011) (internal citation, brackets, and quota-
    tion marks omitted). Importantly, the reasonable belief
    must be based on actual knowledge the officers had at
    the time of the entry, rather than on knowledge acquired
    after the fact. United States v. Jenkins, 
    329 F.3d 579
    , 581
    (7th Cir. 2003).
    Here, we have reliable evidence showing exactly
    what the defendants knew at the time of the
    warrantless entry: an audio copy of the dispatch radio
    transmission from that evening. The initial dispatch call
    to Officers Santoro and Cram reported a “possibly
    suicidal subject.” (Dispatch Radio Transmission audio
    No. 12-1487                                                  9
    recording at 00:06.) Subsequent transmissions by the
    dispatch officer removed any equivocation; they
    described Fitzgerald as suicidal and reported that she
    “made suicidal statements to the desk officer” of the
    Palatine P.D. (Id. at 00:36.) The officer further reported that
    “she did sound intoxicated or under the influence of
    drugs,” (id. at 00:48), and that she was “very difficult to
    understand,” (id. at 03:31). The Schaumburg dispatcher
    told Officers Santoro and Cram that the Palatine desk
    officer “heard the word ‘suicide’ several times” and
    when they asked her if she was thinking about suicide
    she said she’d been very depressed. (Id. at 03:31.) The
    dispatcher then advised the officers that Fitzgerald had
    just hung up on the Palatine desk. (Id. at 03:51.)
    “The need to protect or preserve life or avoid serious
    injury is justification for what would be otherwise
    illegal absent an exigency or emergency.” Brigham City v.
    Stuart, 
    547 U.S. 398
    , 403 (2006); see also United States v.
    Bell, 
    500 F.3d 609
    , 612 (7th Cir. 2007) (“[T]he police need
    not stand by when violence erupts and wait for a blow
    to render a victim unconscious, but rather may step in
    to prevent serious injury and restore order.”); Richardson,
    
    208 F.3d at 629
     (“The Fourth Amendment does not bar
    police officers from making warrantless entries and
    searches when they reasonably believe a person within
    is in need of immediate aid.”) (internal brackets omit-
    ted). “[I]t would be silly to suggest that the police
    would commit a tort by entering . . . to determine whether
    violence . . . has just occurred or is about to (or soon
    will) occur.” Georgia v. Randolph, 
    547 U.S. 103
    , 118 (2006).
    We think that statement is no less true when the
    10                                              No. 12-1487
    violence is directed at one’s self and the tort is of
    the constitutional variety.
    The key question in a warrantless entry case is
    whether “the circumstances as they appeared at the
    moment of entry would lead a reasonable, experienced
    law enforcement officer to believe that someone inside
    the house . . . required immediate assistance.” Arch, 
    7 F.3d at 1304
     (emphasis added). Fitzgerald is correct, as
    we have noted above, that the officers were required to
    have an objectively reasonable basis for their belief that
    exigent circumstances existed. But she is incorrect in
    arguing that the fact “[s]he accidentally called the non-
    emergency number of the Palatine Police station” or
    the fact that she did not actually threaten suicide to
    the Palatine officer should be part of that calculation.
    (Appellant’s Br. at 17.) It is undisputed that the officers
    did not know these facts at the moment of entry. Fitzgerald
    further contends that “the absence of evidence of [her]
    suicidal intent or ideation in [the Schaumburg officers’]
    presence” should be considered when analyzing the
    reasonableness of the warrantless entry. (Id.) Again, these
    observations were clearly not available to the officers
    at the moment of entry. Fitzgerald also contends that
    “[e]ven if exigent circumstances existed for the initial
    entry, the exigency dissipated” after the officers were
    inside the apartment. (Id.) While that might be true, it
    is irrelevant for our warrantless entry analysis. See, e.g.,
    Richardson, 
    208 F.3d at 629
    .
    Here, the officers had an objectively reasonable belief
    that they needed to enter without a warrant in order to
    No. 12-1487                                                11
    prevent serious injury. They had been told that the
    woman inside had called a police station, that she
    sounded intoxicated, and that she had threatened sui-
    cide. The woman had abruptly hung up the phone
    just as they were approaching the building. None of
    these facts are disputed, and, from the officers’ perspec-
    tive, they paint an objectively reasonable picture of an
    exigent circumstance. This case fits snugly within our
    precedents holding that police officers and other emer-
    gency personnel must be “able to assist persons in
    danger or otherwise in need of assistance.” Richardson,
    
    208 F.3d at 630
    . “[W]hen police are acting in a swiftly
    developing situation . . . a court must not indulge in
    unrealistic second-guessing.” Leaf v. Shelnutt, 
    400 F.3d 1070
    , 1092 (7th Cir. 2005) (internal quotation marks omit-
    ted). We apply that maxim again today. The district
    court was correct in holding that the defendants were
    entitled to summary judgment on the warrantless
    entry claim.
    B. Unreasonable Seizure
    As with entry, seizure—even a civil seizure, as we
    have here—is a question governed by the Fourth Amend-
    ment. Soldal v. Cook Cnty., 
    506 U.S. 56
    , 69 (1992); Perry
    v. Sheahan, 
    222 F.3d 309
    , 316 (7th Cir. 2000). Specifically,
    seizures made to effectuate an involuntary mental
    health commitment are analyzed under the Fourth
    Amendment’s “probable cause” standard. Villanova v.
    Abrams, 
    972 F.2d 792
    , 795 (7th Cir. 1992); accord McCabe
    v. Life-Line Ambulance Serv., Inc., 
    77 F.3d 540
    , 544 (1st Cir.
    1996). Probable cause exists “only if there are reasonable
    12                                                No. 12-1487
    grounds for believing that the person seized is subject to
    seizure under the governing legal standard” Villanova,
    
    972 F.2d at 795
    . In Illinois, the governing legal standard
    is 405 ILCS 5/3-606:
    “A peace officer may take a person into custody
    and transport him to a mental health facility
    when the peace officer has reasonable grounds to
    believe that the person is subject to involuntary
    admission and in need of immediate hospitaliza-
    tion to protect such person or others from
    physical harm.”
    Fitzgerald does not challenge that standard here. “The
    probable cause inquiry is an objective one; the subjective
    motivations of the officer do not invalidate a [Fourth
    Amendment action] otherwise supported by probable
    cause.” Carmichael v. Vill. of Palatine, 
    605 F.3d 451
    , 457 (7th
    Cir. 2010). Thus, the question before us is whether the
    officers had objectively reasonable grounds for believing
    that Fitzgerald required immediate hospitalization to
    protect her from self-harm. Even reviewing the record in
    the light most favorable to Fitzgerald, we find that
    they did.
    Again, Fitzgerald seems to ask us to ignore important
    features of the objective reasonableness standard. She
    argues at length that whether the “defendants tried to
    take her into custody because of animus—and not based
    on any belief that Ms. Fitzgerald posed an immediate
    danger to herself or others,” was an important factual
    question that should have been decided by the jury.
    (Appellant’s Reply Br. at 5.) This misconstrues the objec-
    tive standard and our precedent on the subject. Rather
    No. 12-1487                                               13
    than trying to divine whether or not the officers acted
    with “animus,” we are tasked with reviewing “the facts
    as they would have appeared to a reasonable person in
    the position of the arresting officer,” Carmichael, 
    605 F.3d at 457
    . It is “clear that an arresting officer’s state of
    mind (except for the facts that he knows) is irrelevant
    to the existence of probable cause.” Devenpeck v. Alford,
    
    543 U.S. 146
    , 153 (2004). Thus, the officers’ alleged motiva-
    tions here are irrelevant; neither we, nor a reasonable
    jury, should properly consider those motivations.
    As with the issue of entry, we must examine the uncon-
    tested facts as the officers knew them. They had been
    told that Fitzgerald called a local police station and
    made suicidal statements, a description that was con-
    firmed by the dispatch officer while the officers
    spoke with Fitzgerald. They observed that Fitzgerald was
    unsteady on her feet and possibly intoxicated. She told
    the officers that she was taking anti-depressants and
    was going through a difficult period. Weighing in the
    opposite direction, the officers heard Fitzgerald deny
    that she was, in fact, suicidal. And she was obviously
    opposed to going to a hospital voluntarily, despite her
    apparent call for help. Even considering these last two
    facts, when viewed in light of the other information, we
    do not think it was unreasonable for the officers to con-
    clude that Fitzgerald required immediate hospitalization
    to protect her from self-harm. We thus find Fitzgerald’s
    claim without merit.
    Fitzgerald also contends that, contrary to the offi-
    cers’ descriptions, she was not intoxicated. (Appellant’s
    14                                              No. 12-1487
    Reply Br. at 3.) She argues that—as an important part of
    the totality of the circumstances here—this factual
    dispute should have been sent to a jury. (Id. at 3-4.) We
    disagree. While at the hospital, it is documented and
    undisputed that Fitzgerald had a blood alcohol level of
    .298. (R. at 278.) As a point of comparison, the legal blood
    alcohol limit to drive in the state of Illinois is .08. See
    625 ILCS 5/11-501. Our task on an appeal of summary
    judgment is to draw all reasonable inferences in favor of
    the non-moving party. Marr v. Bank of Am., N.A., 
    662 F.3d 963
    , 966 (7th Cir. 2011). The inference Fitzgerald
    asks us to draw in this case—that she was not intoxicated
    despite a blood alcohol level over three-and-a-half
    times the state’s legal driving limit—strikes us as unrea-
    sonable. At best, Fitzgerald raises “some metaphysical
    doubt as to [a] material fact[ ].” Argyropoulos v. City of
    Alton, 
    539 F.3d 724
    , 732 (7th Cir. 2008). That is not
    enough. 
    Id.
    C. Excessive Force
    Fitzgerald also claims that the seizure, even if sup-
    ported by probable cause, was accomplished through the
    use of excessive force. If true, this too would be a viola-
    tion of the Fourth Amendment. Graham v. Connor, 
    490 U.S. 386
    , 388 (1989); Gonzalez v. City of Elgin, 
    578 F.3d 526
    , 541 (7th Cir. 2009). The appropriate question in such
    a case is whether the officers’ actions are objectively
    reasonable in light of the totality of the circumstances.
    Graham, 
    490 U.S. at 396-97
    . “The ‘reasonableness’ of a
    particular use of force must be judged from the perspec-
    No. 12-1487                                                 15
    tive of a reasonable officer on the scene, rather than with
    the 20/20 vision of hindsight.” 
    Id. at 396
    . “An officer’s
    use of force is unreasonable if, judging from the totality
    of the circumstances at the time of the [seizure], the
    officer uses greater force than was reasonably necessary
    to effectuate the [seizure].” Phillips v. Cmty. Ins. Corp., 
    678 F.3d 513
    , 519 (7th Cir. 2012). Further, the “[o]bjective
    reasonableness of force is a legal determination rather
    than a pure question of fact for the jury to decide.” 
    Id. at 520
    . Here again, we cannot conclude that the officers’
    conduct, either in the apartment or in the ambulance,
    was objectively unreasonable in light of the totality of
    the circumstances.
    1. Excessive force in the apartment building
    Based on Fitzgerald’s descriptions of the events in the
    apartment, the officers, in order to take her from her
    home to the hospital, “grabbed her by the arms,” (R. at
    128), in some manner and “forcibly” put her onto the
    gurney, (R. at 131). While they did this, it is uncontested
    that she resisted. Fitzgerald variously described her
    resistance as “pull[ing] [her] arms away,” (R. at 130),
    “screaming at the top of [her] lungs,” (R. at 131), and
    “trying to fight them,” (id.). The officers describe the
    techniques they used to secure her as the “arm bar” and
    “wrist lock” positions. What those techniques entailed
    was not contested. Once Fitzgerald was on the gurney,
    Officer Santoro used a handcuff on her right wrist. When
    she complained that it was too tight, he loosened it.
    Fitzgerald continued to resist, and the gurney’s safety
    16                                                 No. 12-1487
    straps were placed around her. The officers proceeded to
    wheel her from the apartment to the waiting ambulance.
    Fitzgerald contends that the officers’ use of force during
    this period was unconstitutionally unreasonable. We
    disagree.
    Keeping in mind the same information that gave the
    officers probable cause for the seizure in the first place,
    the officers were now additionally confronted with an
    actively resisting individual. We have repeatedly upheld
    officers’ use of force in the face of suspects resisting
    arrest. See, e.g., Padula v. Leimbach, 
    656 F.3d 595
    , 603-04
    (7th Cir. 2011) (affirming summary judgment for de-
    fendant police officers who used their batons to subdue
    an individual they believed to be resisting); Estate of
    Phillips v. City of Milwaukee, 
    123 F.3d 586
    , 593-94 (7th Cir.
    1997); see also Graham, 
    490 U.S. at 396
     (including as a
    consideration in excessive force analysis “whether
    [a suspect] is actively resisting arrest or attempting to
    evade arrest by flight”). We acknowledge that this situa-
    tion is somewhat different from a standard arrest case
    because Fitzgerald was not a criminal suspect, and she
    was not subject to arrest, but rather to civil seizure for self-
    protection. Recognizing that, however, we must also
    recognize that Officers Santoro and Cram used comparably
    less force than in some arrests we have upheld. See, e.g.,
    Padula, 
    656 F.3d at 603-04
    ; Estate of Phillips, 
    123 F.3d at
    593-
    94. The defendants here used minimally forceful tech-
    niques designed to subdue non-compliant subjects and
    prevent escalation. They did not strike or beat Fitz-
    gerald; they did not attempt to completely disable her.
    The officers held her arm and wrist in a firm manner
    meant to induce cooperation. We think that those tech-
    No. 12-1487                                                   17
    niques were objectively reasonable given the circum-
    stances here.5
    2. Excessive force in the ambulance
    Fitzgerald additionally contends that the defendants
    used excessive force once inside the ambulance. For
    reasons similar to those discussed above, however, we
    are not convinced.
    Fitzgerald continued her active resistance while she
    was on the gurney inside the ambulance. Specifically,
    she attempted to free her right hand from the handcuff
    and undo the safety straps that kept her in place. Officer
    Cram responded by again employing the “wrist lock”
    technique on Fitzgerald. In a further attempt to resist,
    Fitzgerald used her left hand to attempt to free herself
    from Officer Cram’s hold. At this point, Fitzgerald’s
    right wrist broke. Her argument is that Officer Cram’s
    hold constituted unreasonable force.
    5
    The defendants cite multiple district court opinions for the
    proposition that these and similar techniques are always
    “de minimis” uses of force and can never be unconstitutionally
    excessive, apparently to encourage us to follow suit. (Appellees’
    Br. at 21-22.) Although the techniques were reasonable here,
    we are not prepared to state that they will always be rea-
    sonable, under all circumstances. Instead, we once again
    affirm that the excessive force inquiry must take into account
    the “totality of the circumstances,” Phillips, 
    678 F.3d at 519
    ,
    as experienced by a “reasonable officer on the scene,” Graham,
    
    490 U.S. at 396
    .
    18                                             No. 12-1487
    As a preliminary matter, Fitzgerald points to her
    broken wrist as evidence of Officer Cram’s excessive
    force. We note, however, that based on her own deposi-
    tion testimony, the last act prior to Fitzgerald’s wrist
    snapping was her grabbing her own right arm with her
    left hand and trying to wrench it from Officer Cram’s
    grip. In other words, the broken wrist seems to be
    better evidence of Fitzgerald’s use of force than
    Officer Cram’s. To be sure, Officer Cram still used force
    in the ambulance, and we analyze that force for exces-
    siveness below.
    To the totality of the circumstances already de-
    scribed and analyzed, we add the consideration that
    Officer Cram now faced an actively resisting Fitzgerald
    in the back of a vehicle presumably filled with medical
    equipment. Fitzgerald testified that she wanted to “get
    the heck out of there,” (R. at 140), and, by her own admis-
    sion, she took several steps to achieve that result. Such
    an outcome would have been a further risk to both her
    safety and the safety of those around her. Again,
    Officer Cram did not beat or strike or attempt to com-
    pletely disable Fitzgerald; he attempted to subdue her
    so that she remained safely restrained for the duration
    of her transport. We do not think that it was unreasonably
    excessive for Officer Cram to use some force to safely
    secure Fitzgerald in this instance, and we do not think
    that a reasonable jury could have found otherwise.
    As a final note, Fitzgerald contends that she felt
    multiple sets of hands on her while in both the apartment
    and the ambulance, and that this inconsistency with
    the officers’ statements creates a dispute of material
    No. 12-1487                                           19
    fact that must be resolved at trial. The defendants
    respond that Fitzgerald failed to properly put these
    arguments before the district court or otherwise
    adequately contradict their statement of facts in such a
    manner as to preserve the issue. But, setting defendants’
    procedural argument aside, we find Fitzgerald’s conten-
    tions lacking. The overall amount of force in both the
    apartment and the ambulance is essentially uncontra-
    dicted. Our analysis would not be different simply
    because that force was applied by some other number
    of hands.
    III. C ONCLUSION
    For the foregoing reasons, we A FFIRM the judgment of
    the district court.
    2-7-13