Paramedic reveals what father of boy (4) killed by stepmother said as they treated him

The sentencing of a woman who murdered her four-year-old stepson has been adjourned until the New Year as the child's mother is unwell and unable to attend court.

The defendant, who faces the mandatory term of life imprisonment for murder, will appear before the Central Criminal Court again on January 12. The child's mother will be given the opportunity to make a statement on that date.

Anne Rowland SC, for the Director of Public Prosecutions, told Mr Justice Paul McDermott that the child's mother, who attended every day of the murder trial, was anxious to attend the sentencing hearing. Ms Rowland said the mother is "unwell" and asked for an adjournment.

The defendant cannot be identified to protect the anonymity of a child whose statement was read out in court prior to the accused entering her guilty plea.

After the adjournment was granted, Ronan Kennedy SC told the court that he appears for RTE, the Irish Times and Mediahuis, who own the Irish Independent and other titles. Mr Kennedy said the media wishes to make submissions regarding the anonymity of the accused. Mr Justice McDermott adjourned that hearing, also to January 12.

The defendant initially pleaded not guilty to the boy's murder but guilty to manslaughter. On the fourth day of her trial, after the child's statement had been read for the jury, she pleaded guilty to the boy's murder on March 16, 2021 at a house in the southwest of the country.

In her opening speech, Ms Rowland said that the defendant had described to gardai keeping the boy in his room in the days prior to his death, where he had to sit on the floor and was only allowed out to go to the bathroom or for emergencies.

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The defendant said that the boy was a "bold cheeky child" and often had to be grounded.

She told gardai that on the day the boy suffered his fatal injuries, she "snapped" and recalled "shaking him and screaming at him to behave" before he fell on the floor.

In November 2024, the child's father was sentenced to seven years in prison having pleaded guilty to endangerment, neglect and impeding the apprehension or prosecution of the stepmother, knowing or believing she had murdered his son.

Passing sentence at the time, Mr Justice McDermott described his actions as "shameful" and said he bore a high level of criminal responsibility for failing to nurture and protect his son.

Authorities first became aware of the abuse against the child when his father called 999 on March 13, 2021, claiming that the boy had injured his head by falling off the top bunk of a bunk bed.

An advanced paramedic who was first on the scene said he met the child's father halfway up the stairs. Inside an upstairs bedroom, he saw the child lying on his side on the floor in the foetal position with his head resting on a pillow.

The paramedic noted "yellowish" bruising, suggesting older injuries, and a bump or haematoma on the back of the head. When asked about the older bruises, the father said the child had previously run into a door.

The father also said the child had been "bold, acting up, behaving badly and was grounded and confined to his bedroom," the paramedic said. The paramedic said he didn't want to waste time so he took the boy in his arms and carried him to the ambulance.

The child's pupils did not react to light, indicating a significant head injury, he said. He also showed signs of "posturing", whereby the limbs become extended and stiff, further suggesting a head injury and swelling or pressure on the brain. The paramedic put a collar on the child to restrict spine movement and called ahead for the paediatric resuscitation room at a nearby hospital to be prepared.

A supervisor who was with the advanced paramedic said she also observed bruises to the boy's eyes, face, torso and to both legs. He was "very, very pale, almost white" and was not moving.

The child's father told the paramedic that the boy had fallen from the top bunk of the bed about an hour earlier.

The father also said that the bruises on the child's face were caused when he had been playing soccer earlier in the week. He said the child "bruises easily" and when asked about bruising around the child's eyes, he said the boy "ran into a door the day before or two days before".

When asked if the child's mother could be contacted, the father said she was "not in our lives any more".

Dr Stephen O'Riordan told the trial that he was called in to review the child's case after he had been brought to a second hospital by ambulance. He described how the "whole theatre gasped" when they pulled back the drapes and saw the child, covered in bruises.

He documented 17 areas of bruising or injury to both eyes, the ears, arms, legs and back. The "black eyes," combined with bruises around both ears are "classic signs of physical abuse," he said.

Dr O'Riordan said the child's father had said the black eyes were the result of two falls over the previous two weeks. Dr O'Riordan said: "Any fall in a four-year-old child that I would see regularly would never have two black eyes. One or the other, but having two would more likely be from a head injury."

There were possible "grab marks" on one shoulder and to the left elbow and multiple bruises on the back and chest suggesting the boy was "landing on his chest or back a lot, which is consistent with non-accidental injury".

The most significant injury, he said, was a "hugely extensive injury" to the back of the head.

A laceration to the boy's liver, Dr O'Riordan said, would have been caused by "extreme force" and would normally be associated with a car accident. X-rays carried out by another paediatrician showed the boy had previously suffered a fractured rib that was starting to heal. The healing would suggest that the rib injury was seven to ten days old, Dr O'Riordan said.

Dr O'Riordan said the number of unexplained injuries left him with a "significant concern" about physical or intentional abuse against the child.

A consultant intensive care doctor said the head injuries the boy suffered would usually be associated with a crash where a car hits a wall or a fall from a "very significant height".

Dr Niamh Mitchell, a specialist in emergency medicine, said that when the child arrived in hospital, he had the most serious type of head injury. Dr Mitchell noted the pattern of bruising across the child's body, including the inner thighs.

She said: "It looked like he had been hit on more than one occasion because of the different colours. It didn't look like something you would get from normal play. The inside of the legs is not something you would injure in normal play."

A consultant intensive care consultant said she did not receive a satisfactory explanation of the bruises of different ages from the child's father, which gave her cause for concern. She said the father told her that the boy had been "grounded", which she found "a little unusual for a child of that young age".

She said she has received training in how to recognise non-accidental injuries. Bruises of different ages with a non-satisfactory explanation from the primary caregiver gave rise to concerns, she said.

State Pathologist Dr Heidi Okkers told the trial that head injuries the child suffered were the result of shaking and being struck off a hard surface such as a floor or wall.

Both the injury to the liver and the head could have been fatal on their own, Dr Okkers said.

The brain, she said, was significantly swollen with subdural bleeding above the right ear. There was also evidence of "axonal injury", which is caused by the brain shifting from side to side. Such injuries are associated with road traffic collisions and assault, the pathologist said. In a child, she said it would be caused by shaking, punching or striking the head, causing it to rotate or move back and forth.

You don't get axonal injuries from falling off beds, Dr Okkers said, because a rapid rotation of the head is required. "The head has to move at some speed for the brain to move," she said.

Dr Okkers noted lacerations to the front and back of the child's liver which would have been caused by direct trauma to the abdomen. She said the injury would have been caused by a punch, a knee or a kick or a blow with a blunt object. It would not be caused by a fall, she said. The liver injury would have been painful and would have caused the child to cry, Dr Okkers said.

The pathologist concluded that the cause of death was a traumatic head injury in association with blunt force trauma to the abdomen. Either injury to the head or the liver could have independently caused death.

The different ages and distribution of the bruises, she said, would not typically be found in a child. While children often have bruises to the knees, shins and forehead, the injuries to the child's arms, legs, face, each side of the head, chest, sides and back are not typical.

A series of oval-shaped bruises to the right shoulder could be fingerprints as a result of someone handling the child, she said.

Det Gda Treasa Kelly said she searched the house where the child had lived with his father and step-mother. In the child's bedroom she found Nurofen for children, arnica ointment and a hot and cold pack for the treatment of minor injuries, sprains and swelling.

The packaging on the arnica ointment, Det Gda Kelly said, indicated that it is a homeopathic remedy for treating bruises.