State v. Ajay Gregory Pierangeli

2025AP1894-CRWisctapp

Full text

COURT OF APPEALS
DECISION
DATED AND FILED
October 7, 2026
Samuel A. Christensen
Clerk of Court of Appeals
NOTICE
This opinion is subject to further editing. If
published, the official version will appear in
the bound volume of the Official Reports.
A party may file with the Supreme Court a
petition to review an adverse decision by the
Court of Appeals. See WIS. STAT. § 808.10 and
RULE 809.62.
Appeal No. 2025AP1894-CR Cir. Ct. No. 2023CF1249
STATE OF WISCONSIN IN COURT OF APPEALS
DISTRICT II
STATE OF WISCONSIN,
PLAINTIFF-RESPONDENT,
V.
AJAY GREGORY PIERANGELI,
DEFENDANT-APPELLANT.
APPEAL from a judgment of the circuit court for Kenosha County:
ANTHONY G. MILISAUSKAS, Judge. Affirmed.
Before Lazar, P.J., Gundrum, and LoCoco, JJ.
Per curiam opinions may not be cited in any court of this state as precedent
or authority, except for the limited purposes specified in WIS. STAT. RULE 809.23(3).
¶1 PER CURIAM. Ajay Gregory Pierangeli appeals from a judgment
of conviction entered on his guilty plea to two counts of homicide by intoxicated
No. 2025AP1894-CR
2
use of a vehicle. He contends the circuit court erred in denying his motion to
suppress the results of a blood draw, which motion claimed law enforcement lacked
probable cause to believe he had operated a vehicle while intoxicated and no
exigency supported the warrantless blood draw. For the following reasons, we
affirm.
BACKGROUND
¶2 Pierangeli was the driver of a vehicle that, shortly before 3:25 a.m. on
July 28, 2023, left the roadway and crashed into the side of a building, resulting in
the deaths of two passengers, injuries to two other passengers, and significant injury
to himself. The results of a blood draw taken by the hospital in the course of treating
Pierangeli indicated he had a blood alcohol concentration level of .282. Pierangeli
filed a motion to suppress the results of a second blood draw, which hospital staff
had performed pursuant to law enforcement directive. The circuit court held an
evidentiary hearing on the motion at which the following relevant evidence was
presented.
¶3 A police officer who had responded to the crash testified that an
ambulance driver at the scene informed him that just moments before the crash, the
ambulance driver had been stopped near the suspect vehicle at a stoplight. While
stopped, the rear passenger on the driver’s side “was hanging out the window and
… blowing kisses at him” and “doing some other types of unusual things.” After
the vehicle took off from the stoplight, the ambulance driver observed it “swerve[]
multiple times,” travel at a high rate of speed, “kind of bec[o]me airborne” at one
point, “swerve[] left and then swerve[] right” before “run[ning] off the road”
“towards the building.” On cross-examination, the officer stated he did not recall
No. 2025AP1894-CR
3
the ambulance driver indicating that he had observed an odor of alcohol coming
from the driver, Pierangeli.
¶4 Another officer testified that he was at the scene of the crash and
eventually was tasked with following the ambulance transporting Pierangeli to the
hospital. At the hospital, the officer asked staff to procure the now-disputed blood
sample from Pierangeli, which they did. At the time of the request, the officer was
aware that two of the passengers had been killed in the crash. The officer did not
attempt to obtain a search warrant for the blood draw.
¶5 On cross-examination, the officer indicated he did not recall anyone
at the scene expressing an observance of an odor of alcohol coming from Pierangeli
and confirmed that prior to requesting that hospital staff draw Pierangeli’s blood,
no witness had described Pierangeli to him as being impaired. The officer stated,
however, that he “was aware that there was erratic driving [and] some sort of
behavior indicating that potentially the occupants of the vehicle [could] be under
the influence.” He agreed Pierangeli was unconscious at the hospital and that he
requested the blood draw “almost immediately” after arriving there because he
believed he “didn’t have time to obtain a [s]earch [w]arrant or the personnel to do
it.” He stated, “If I had the opportunity, I would have applied for a [s]earch
[w]arrant.” The officer testified that he was “under the impression that [Pierangeli]
was going to get Flight for Life [and] was going to need a lot of medical procedures
and we needed to get the blood before anything was to happen.” He further testified
that although hospital staff had drawn Pierangeli’s blood for its own treatment
purposes, he was not aware of that fact until after he had requested that they do so
for law enforcement purposes.
No. 2025AP1894-CR
4
¶6 The officer acknowledged that it takes approximately 25 to
30 minutes to obtain a search warrant, explaining that to apply for a warrant in this
instance, he would have had to go to his squad car, download the warrant, fill it out,
submit it, and then wait. When asked if he could have left the proximity of
Pierangeli because Pierangeli was unconscious and “wasn’t going anywhere,” the
officer responded, “I needed to stay in close proximity to him just to make sure that
there weren’t any medications or anything like that being introduced to him because
of his condition.” The officer acknowledged there were other officers at the hospital
“during this general timeframe,” but he did not know the specifics of just when they
were there. On redirect examination, the officer agreed that Pierangeli began
receiving medical care “almost immediately upon arrival” at the hospital.
¶7 A sergeant testified that while at the scene of the crash, he had told
the officer who ended up following the ambulance to the hospital that the officer
needed to “stay with” Pierangeli and have a blood draw done. The sergeant
explained that he had
been involved in a lot of crash investigations. And given the
severity of this one, the totality of the circumstances at the
scene and the critical injuries involving fatalities, it was my
belief that any medical intervention, be it blood loss or injury
or the hospital giving him life saving drugs, et cetera, that
we had to critically get this blood before we lost that
evidence.
When asked if there was any particular significance about the crash occurring at the
time that it did, the sergeant responded, “Yeah, a lot of my time is spent on third
shift. And historically around that’s the time we call time post bar close have some
sort of impairment involving alcohol or drugs [sic].” When asked if he himself or
“any other officers were able to get in really close proximity to any of the individuals
inside the vehicle,” the sergeant responded, “Not that I recall, no.”
No. 2025AP1894-CR
5
¶8 On cross-examination, the sergeant confirmed that before Pierangeli
had ever been transported from the scene of the crash, the sergeant had made the
decision that a blood draw should be procured, based on exigent circumstances as
opposed to a search warrant, and agreed that he communicated this decision at that
time to the officer who followed the ambulance to the hospital. The sergeant
explained that Pierangeli had agonal breathing at the scene, “[s]o I knew that he was
not conscious. And in my experience when there is agonal breathing, if it’s not a
heroin overdose, it’s typically indicative of someone who is critical and near death.”
He agreed that the decision to have a blood draw done based on exigent
circumstances was his and his alone, adding, “if there is any possibility that our
evidence can get altered or lost” due to hospital staff’s treatment of a suspect, “I am
going to preserve it.” “In addition,” he added, “if there is a need for a blood
transfusion [and] we are getting someone else’s blood in the system that’s going to
dilute or modify results you are going to get.”
¶9 The sergeant acknowledged that prior to deciding to order a blood
draw based upon exigent circumstances, he was not aware of any person describing
Pierangeli as impaired or intoxicated. While he stated that he could not “speak to
ambulance policies and procedures,” when asked if he was aware “in a case like this
especially with an unconscious driver there would be efforts made en route to the
hospital in terms of IVs and things like that,” the sergeant responded, “Sure. They
are going to intervene.”
¶10 A “paramedic [l]ieutenant” with the Kenosha Fire Department
testified that he responded to the crash in which “[t]he vehicle had protruded pretty
deeply into a concrete block structure.” He treated Pierangeli, who was unconscious
but breathing and had a strong pulse. The lieutenant “brought him to the rescue
squad and continued treatment,” including administering “normal saline,” “a needle
No. 2025AP1894-CR
6
decompression” for his lung, and “respirations with a bag valve mask.” He
explained that the saline is a sodium solution “to keep the vein open when we
administer an IV.” He indicated that no other medication was given to Pierangeli
at that time. The lieutenant and others transported Pierangeli to the hospital Flight
for Life, but Flight for Life “had aborted due to weather conditions,” so they took
him to the emergency room. The lieutenant testified that while he did not smell
alcohol emitting from Pierangeli while working near his hip area at the scene, a crew
member working near Pierangeli’s head had stated that Pierangeli “smelled of
alcohol.”
¶11 When asked on cross-examination whether either he or the crew
member “communicate[d] to [l]aw [e]nforcement any allegation [of alcohol smell]
coming from Mr. Pierangeli,” the lieutenant responded, “I personally don’t recall,
no.” He agreed he did not “administer any substance to Mr. Pierangeli that might
have a meaningful impact on his BAC level” and further indicated he “c[ouldn’t]
imagine” an IV saline solution would. He agreed that Pierangeli presented “with all
of the symptoms of a single collapsed lung,” which he considered “very serious.”
The lieutenant agreed on redirect examination that Pierangeli “remained
unconscious the entire time.”
¶12 The circuit court denied Pierangeli’s suppression motion, and he now
appeals.
DISCUSSION
¶13 Pierangeli insists the circuit court erred in denying his suppression
motion, asserting that “law enforcement officers lacked a sufficient basis to invoke
the exigent circumstances exception to the Fourth Amendment” warrant
requirement. (Formatting altered.) We conclude the court did not err.
No. 2025AP1894-CR
7
¶14 “The review of a circuit court’s order granting or denying a
suppression motion presents a question of constitutional fact. We will uphold the
court’s factual findings unless they are clearly erroneous, but we independently
apply constitutional principles to those facts.” State v. Mitchell, 2022 WI App 31,
¶9, 404 Wis. 2d 103, 978 N.W.2d 231 (citation omitted). The Mitchell case
provides us clear direction for this appeal.
¶15 In Mitchell, we noted that the previous, “key” holding from the United
States Supreme Court in that very case was that
[w]hen police have probable cause to believe a person has
committed a drunk-driving offense and the driver’s
unconsciousness or stupor requires him to be taken to the
hospital or similar facility before police have a reasonable
opportunity to administer a standard evidentiary breath test,
they may almost always order a warrantless blood test to
measure the driver’s BAC without offending the Fourth
Amendment.
Id., ¶10 (alteration in original; quoting Mitchell v. Wisconsin, 588 U.S. 840, 857
(2019) (plurality opinion)). We observed that
[t]he only circumstance in which police may not order the
test without offending the Fourth Amendment—the “almost
always” part of the holding—is where the motorist shows
both that (1) his/her blood “would not have been drawn if
police had not been seeking BAC information,” and
(2) “police could not have reasonably judged that a warrant
application would interfere with other pressing needs or
duties.” [Mitchell, 588 U.S. at 857] (emphasis added); see
State v. Richards, 2020 WI App 48, ¶29 n.4, 393 Wis. 2d
772, 948 N.W.2d 359 (“Mitchell’s holding that a defendant
must ‘show’ [these two factors] places the burden on [the
defendant] to establish those factors.”).
Mitchell, 404 Wis. 2d 103, ¶10.
¶16 Drawing further from the United States Supreme Court’s decision in
Mitchell, we noted that the Court
No. 2025AP1894-CR
8
stated that an OWI-motorist’s unconsciousness
does not just create pressing needs; it is itself
a medical emergency. It means that the
suspect will have to be rushed to the hospital
... not just for the blood test itself but for
urgent medical care. Police can reasonably
anticipate that ... [the driver’s] blood may be
drawn anyway, for diagnostic purposes,
immediately on arrival.
Mitchell, 404 Wis. 2d 103, ¶12 (alteration in original; quoting Mitchell, 588 U.S. at
854-55 (plurality opinion)). We further observed that the Supreme Court “stated
that where there is probable cause to believe an unconscious person has operated a
vehicle while intoxicated, the person ‘will have to be’ rushed to a hospital for a
‘blood test’ and ‘urgent medical care.’” Mitchell, 404 Wis. 2d 103, ¶12 (quoting
Mitchell, 588 U.S. at 855). We summarized the “clear guidance” from the Supreme
Court’s decision as it “relate[s] to all OWI motorists who are unconscious,” and that
is that
taking such motorists to the hospital and performing a
warrantless blood draw is reasonable and constitutional, and
the related blood test will not be suppressed unless the
motorist later shows both “that his blood would not have
been drawn if police had not been seeking BAC
information” and “that police could not have reasonably
judged that a warrant application would interfere with other
pressing needs or duties.”
Id. (quoting Mitchell, 588 U.S. at 857 (plurality opinion)).
¶17 Based on the foregoing, as relevant to this case, our Mitchell decision
teaches that we first ask if law enforcement had probable cause to believe Pierangeli
was operating a motor vehicle while intoxicated and thus can properly be considered
an “OWI-motorist.” See id. If so, because he was unconscious, the warrantless
blood draw at the hospital was “reasonable and constitutional, and the related blood
test will not be suppressed,” unless he has shown “both ‘that his blood would not
No. 2025AP1894-CR
9
have been drawn if police had not been seeking BAC information,’ and ‘that police
could not have reasonably judged that a warrant application would interfere with
other pressing needs or duties.’” See id. (emphasis added; citation omitted).
¶18 We first consider whether at the time of the blood draw law
enforcement had probable cause to believe Pierangeli had been operating a motor
vehicle while intoxicated. The probable cause determination turns on whether the
totality of the circumstances within the officer’s knowledge would lead a reasonable
officer to believe the suspect probably committed a crime. State v. Kutz, 2003 WI
App 205, ¶11, 267 Wis. 2d 531, 671 N.W.2d 660. “It is only necessary that the
information lead a reasonable officer to believe that guilt is more than a possibility.”
State v. Paszek, 50 Wis. 2d 619, 625, 184 N.W.2d 836 (1971). The undisputed
evidence convinces us law enforcement had probable cause to believe Pierangeli
had committed the offense of operating a motor vehicle while intoxicated, and
additionally, causing felonious harm and death to passengers while doing so.
¶19 Shortly before 3:25 a.m., Pierangeli swerved on the roadway
“multiple times” and was driving at a high rate of speed before going “airborne,”
“run[ning] off the road” and striking a building so directly that the vehicle
“protruded pretty deeply into [the] concrete block structure.” At a stoplight just
moments before, a passenger in the vehicle “was hanging out the window and …
blowing kisses” at an ambulance driver who subsequently responded to the crash of
this same vehicle. The passenger was also “doing some other types of unusual
things.” The conduct of the passenger and the swerving of the driver, especially
occurring not long after bar closing time, see State v. Post, 2007 WI 60, ¶36, 301
Wis. 2d 1, 733 N.W.2d 634 (stating that time of night “does lend some further
credence” to an officer’s suspicion of intoxicated driving), gave law enforcement
significant reason to believe the individuals in the vehicle, including the swerving
No. 2025AP1894-CR
10
driver, were impaired by drugs or alcohol. Indeed, as the sergeant indicated based
on his third shift experience, drivers who crash shortly after bar closing time like
this “historically … have some sort of impairment involving alcohol or drugs.”
¶20 Add to this evidence the otherwise inexplicable nature of the crash—
the vehicle leaving the roadway and striking a large, immovable object, the
building—and the totality of the circumstances here met the probable cause
threshold; guilt was “more than a possibility.” See Paszek, 50 Wis. 2d at 625.
Absent some significant cause, like extremely bad weather or road conditions, sober
individuals do not just leave the roadway, go airborne, and crash so directly into a
concrete building as to “protrude[] deeply into” it. No evidence was presented of
bad weather, bad road conditions, or any other possible cause. The most reasonable
inference as to the cause of the crash, particularly at this time of night, was
impairment by either alcohol or drugs.1
¶21 Probable cause determined and Pierangeli’s unconscious state
undisputed, we must conclude under Mitchell that the blood draw here was
constitutional unless Pierangeli has shown “both ‘that his blood would not have
been drawn if police had not been seeking BAC information,’ and ‘that police could
not have reasonably judged that a warrant application would interfere with other
pressing needs or duties.’” See Mitchell, 404 Wis. 2d 103, ¶12 (citation omitted).
1 There was testimony presented by the “paramedic [l]ieutenant” from the Kenosha Fire
Department that a co-worker smelled alcohol emitting from Pierangeli. We do not consider this
evidence in our probable cause determination, as nothing in the testimony indicates law
enforcement became aware of the co-worker’s knowledge on this point prior to the blood draw.
See State v. Rissley, 2012 WI App 112, ¶19, 344 Wis. 2d 422, 824 N.W.2d 853 (“[U]nder the
collective knowledge doctrine, ‘[t]he police force is considered as a unit and where there is
police-channel communication to the arresting officer and he acts in good faith thereon, the arrest
is based on probable cause when such facts exist within the police department.’” (emphasis added;
citation omitted)).
No. 2025AP1894-CR
11
We need go no further than the first point, as the evidence clearly showed that the
hospital staff drew Pierangeli’s blood for its own purposes in treating him.
By the Court.—Judgment affirmed.
This opinion will not be published. See WIS. STAT.
RULE 809.23(1)(b)5 (2023-24).

1 printed pages contain little extracted OCR body text; searchable legal-body completeness has not been established for those pages.

OCR transcription for search; preserved printed pages are authoritative

COURT OF APPEALS
DECISION
DATED AND FILED

October 7, 2026

Samuel A. Christensen

Clerk of Court of Appeals

Appeal No. 2025AP1894-CR

NOTICE

published, the official version will appear in
the bound volume of the Official Reports.

A party may file with the Supreme Court a
petition to review an adverse decision by the
Court of Appeals. See WIs. STAT. § 808.10 and
RULE 809.62.

Cir. Ct. No. 2023CFI2A9

STATE OF WISCONSIN IN COURT OF APPEALS
DISTRICT I
STATE OF WISCONSIN,
PLAINITFF-RESPONDENT,
V.
AJAY GREGORY PIERANGELI,
DEFENDANT-APPELLANT.

APPEAL from a judgment of the circuit court for Kenosha County:
ANTHONY G. MILISAUSKAS, Judge. Affirmed.

Before Lazar, P.J., Gundrum, and LoCoco, JJ.

Per curiam opinions may not be Gted in any court of this state as precedent

or authority, except for the limited purposes specified in Wis. STAT. RULE 809,23().

ql §$PERCURIAM. Ajay Gregory Pierangeli appeals from a judgment
of conviction entered on his guilty plea to two counts of homicide by intoxicated

No. 2025AP1894-CR
2
use of a vehicle. He contends the circuit court erred in denying his motion to
suppress the results of a blood draw, which motion claimed law enforcement lacked
probable cause to believe he had operated a vehicle while intoxicated and no
exigency supported the warrantless blood draw. For the following reasons, we
affirm.
BACKGROUND
¶2 Pierangeli was the driver of a vehicle that, shortly before 3:25 a.m. on
July 28, 2023, left the roadway and crashed into the side of a building, resulting in
the deaths of two passengers, injuries to two other passengers, and significant injury
to himself. The results of a blood draw taken by the hospital in the course of treating
Pierangeli indicated he had a blood alcohol concentration level of .282. Pierangeli
filed a motion to suppress the results of a second blood draw, which hospital staff
had performed pursuant to law enforcement directive. The circuit court held an
evidentiary hearing on the motion at which the following relevant evidence was
presented.
¶3 A police officer who had responded to the crash testified that an
ambulance driver at the scene informed him that just moments before the crash, the
ambulance driver had been stopped near the suspect vehicle at a stoplight. While
stopped, the rear passenger on the driver’s side “was hanging out the window and
… blowing kisses at him” and “doing some other types of unusual things.” After
the vehicle took off from the stoplight, the ambulance driver observed it “swerve[]
multiple times,” travel at a high rate of speed, “kind of bec[o]me airborne” at one
point, “swerve[] left and then swerve[] right” before “run[ning] off the road”
“towards the building.” On cross-examination, the officer stated he did not recall

No. 2025AP1894-CR
3
the ambulance driver indicating that he had observed an odor of alcohol coming
from the driver, Pierangeli.
¶4 Another officer testified that he was at the scene of the crash and
eventually was tasked with following the ambulance transporting Pierangeli to the
hospital. At the hospital, the officer asked staff to procure the now-disputed blood
sample from Pierangeli, which they did. At the time of the request, the officer was
aware that two of the passengers had been killed in the crash. The officer did not
attempt to obtain a search warrant for the blood draw.
¶5 On cross-examination, the officer indicated he did not recall anyone
at the scene expressing an observance of an odor of alcohol coming from Pierangeli
and confirmed that prior to requesting that hospital staff draw Pierangeli’s blood,
no witness had described Pierangeli to him as being impaired. The officer stated,
however, that he “was aware that there was erratic driving [and] some sort of
behavior indicating that potentially the occupants of the vehicle [could] be under
the influence.” He agreed Pierangeli was unconscious at the hospital and that he
requested the blood draw “almost immediately” after arriving there because he
believed he “didn’t have time to obtain a [s]earch [w]arrant or the personnel to do
it.” He stated, “If I had the opportunity, I would have applied for a [s]earch
[w]arrant.” The officer testified that he was “under the impression that [Pierangeli]
was going to get Flight for Life [and] was going to need a lot of medical procedures
and we needed to get the blood before anything was to happen.” He further testified
that although hospital staff had drawn Pierangeli’s blood for its own treatment
purposes, he was not aware of that fact until after he had requested that they do so
for law enforcement purposes.

No. 2025AP1894-CR
4
¶6 The officer acknowledged that it takes approximately 25 to
30 minutes to obtain a search warrant, explaining that to apply for a warrant in this
instance, he would have had to go to his squad car, download the warrant, fill it out,
submit it, and then wait. When asked if he could have left the proximity of
Pierangeli because Pierangeli was unconscious and “wasn’t going anywhere,” the
officer responded, “I needed to stay in close proximity to him just to make sure that
there weren’t any medications or anything like that being introduced to him because
of his condition.” The officer acknowledged there were other officers at the hospital
“during this general timeframe,” but he did not know the specifics of just when they
were there. On redirect examination, the officer agreed that Pierangeli began
receiving medical care “almost immediately upon arrival” at the hospital.
¶7 A sergeant testified that while at the scene of the crash, he had told
the officer who ended up following the ambulance to the hospital that the officer
needed to “stay with” Pierangeli and have a blood draw done. The sergeant
explained that he had
been involved in a lot of crash investigations. And given the
severity of this one, the totality of the circumstances at the
scene and the critical injuries involving fatalities, it was my
belief that any medical intervention, be it blood loss or injury
or the hospital giving him life saving drugs, et cetera, that
we had to critically get this blood before we lost that
evidence.
When asked if there was any particular significance about the crash occurring at the
time that it did, the sergeant responded, “Yeah, a lot of my time is spent on third
shift. And historically around that’s the time we call time post bar close have some
sort of impairment involving alcohol or drugs [sic].” When asked if he himself or
“any other officers were able to get in really close proximity to any of the individuals
inside the vehicle,” the sergeant responded, “Not that I recall, no.”

No. 2025AP1894-CR
5
¶8 On cross-examination, the sergeant confirmed that before Pierangeli
had ever been transported from the scene of the crash, the sergeant had made the
decision that a blood draw should be procured, based on exigent circumstances as
opposed to a search warrant, and agreed that he communicated this decision at that
time to the officer who followed the ambulance to the hospital. The sergeant
explained that Pierangeli had agonal breathing at the scene, “[s]o I knew that he was
not conscious. And in my experience when there is agonal breathing, if it’s not a
heroin overdose, it’s typically indicative of someone who is critical and near death.”
He agreed that the decision to have a blood draw done based on exigent
circumstances was his and his alone, adding, “if there is any possibility that our
evidence can get altered or lost” due to hospital staff’s treatment of a suspect, “I am
going to preserve it.” “In addition,” he added, “if there is a need for a blood
transfusion [and] we are getting someone else’s blood in the system that’s going to
dilute or modify results you are going to get.”
¶9 The sergeant acknowledged that prior to deciding to order a blood
draw based upon exigent circumstances, he was not aware of any person describing
Pierangeli as impaired or intoxicated. While he stated that he could not “speak to
ambulance policies and procedures,” when asked if he was aware “in a case like this
especially with an unconscious driver there would be efforts made en route to the
hospital in terms of IVs and things like that,” the sergeant responded, “Sure. They
are going to intervene.”
¶10 A “paramedic [l]ieutenant” with the Kenosha Fire Department
testified that he responded to the crash in which “[t]he vehicle had protruded pretty
deeply into a concrete block structure.” He treated Pierangeli, who was unconscious
but breathing and had a strong pulse. The lieutenant “brought him to the rescue
squad and continued treatment,” including administering “normal saline,” “a needle

No. 2025AP1894-CR
6
decompression” for his lung, and “respirations with a bag valve mask.” He
explained that the saline is a sodium solution “to keep the vein open when we
administer an IV.” He indicated that no other medication was given to Pierangeli
at that time. The lieutenant and others transported Pierangeli to the hospital Flight
for Life, but Flight for Life “had aborted due to weather conditions,” so they took
him to the emergency room. The lieutenant testified that while he did not smell
alcohol emitting from Pierangeli while working near his hip area at the scene, a crew
member working near Pierangeli’s head had stated that Pierangeli “smelled of
alcohol.”
¶11 When asked on cross-examination whether either he or the crew
member “communicate[d] to [l]aw [e]nforcement any allegation [of alcohol smell]
coming from Mr. Pierangeli,” the lieutenant responded, “I personally don’t recall,
no.” He agreed he did not “administer any substance to Mr. Pierangeli that might
have a meaningful impact on his BAC level” and further indicated he “c[ouldn’t]
imagine” an IV saline solution would. He agreed that Pierangeli presented “with all
of the symptoms of a single collapsed lung,” which he considered “very serious.”
The lieutenant agreed on redirect examination that Pierangeli “remained
unconscious the entire time.”
¶12 The circuit court denied Pierangeli’s suppression motion, and he now
appeals.
DISCUSSION
¶13 Pierangeli insists the circuit court erred in denying his suppression
motion, asserting that “law enforcement officers lacked a sufficient basis to invoke
the exigent circumstances exception to the Fourth Amendment” warrant
requirement. (Formatting altered.) We conclude the court did not err.

No. 2025AP1894-CR
7
¶14 “The review of a circuit court’s order granting or denying a
suppression motion presents a question of constitutional fact. We will uphold the
court’s factual findings unless they are clearly erroneous, but we independently
apply constitutional principles to those facts.” State v. Mitchell, 2022 WI App 31,
¶9, 404 Wis. 2d 103, 978 N.W.2d 231 (citation omitted). The Mitchell case
provides us clear direction for this appeal.
¶15 In Mitchell, we noted that the previous, “key” holding from the United
States Supreme Court in that very case was that
[w]hen police have probable cause to believe a person has
committed a drunk-driving offense and the driver’s
unconsciousness or stupor requires him to be taken to the
hospital or similar facility before police have a reasonable
opportunity to administer a standard evidentiary breath test,
they may almost always order a warrantless blood test to
measure the driver’s BAC without offending the Fourth
Amendment.
Id., ¶10 (alteration in original; quoting Mitchell v. Wisconsin, 588 U.S. 840, 857
(2019) (plurality opinion)). We observed that
[t]he only circumstance in which police may not order the
test without offending the Fourth Amendment—the “almost
always” part of the holding—is where the motorist shows
both that (1) his/her blood “would not have been drawn if
police had not been seeking BAC information,” and
(2) “police could not have reasonably judged that a warrant
application would interfere with other pressing needs or
duties.” [Mitchell, 588 U.S. at 857] (emphasis added); see
State v. Richards, 2020 WI App 48, ¶29 n.4, 393 Wis. 2d
772, 948 N.W.2d 359 (“Mitchell’s holding that a defendant
must ‘show’ [these two factors] places the burden on [the
defendant] to establish those factors.”).
Mitchell, 404 Wis. 2d 103, ¶10.
¶16 Drawing further from the United States Supreme Court’s decision in
Mitchell, we noted that the Court

No. 2025AP1894-CR
8
stated that an OWI-motorist’s unconsciousness
does not just create pressing needs; it is itself
a medical emergency. It means that the
suspect will have to be rushed to the hospital
... not just for the blood test itself but for
urgent medical care. Police can reasonably
anticipate that ... [the driver’s] blood may be
drawn anyway, for diagnostic purposes,
immediately on arrival.
Mitchell, 404 Wis. 2d 103, ¶12 (alteration in original; quoting Mitchell, 588 U.S. at
854-55 (plurality opinion)). We further observed that the Supreme Court “stated
that where there is probable cause to believe an unconscious person has operated a
vehicle while intoxicated, the person ‘will have to be’ rushed to a hospital for a
‘blood test’ and ‘urgent medical care.’” Mitchell, 404 Wis. 2d 103, ¶12 (quoting
Mitchell, 588 U.S. at 855). We summarized the “clear guidance” from the Supreme
Court’s decision as it “relate[s] to all OWI motorists who are unconscious,” and that
is that
taking such motorists to the hospital and performing a
warrantless blood draw is reasonable and constitutional, and
the related blood test will not be suppressed unless the
motorist later shows both “that his blood would not have
been drawn if police had not been seeking BAC
information” and “that police could not have reasonably
judged that a warrant application would interfere with other
pressing needs or duties.”
Id. (quoting Mitchell, 588 U.S. at 857 (plurality opinion)).
¶17 Based on the foregoing, as relevant to this case, our Mitchell decision
teaches that we first ask if law enforcement had probable cause to believe Pierangeli
was operating a motor vehicle while intoxicated and thus can properly be considered
an “OWI-motorist.” See id. If so, because he was unconscious, the warrantless
blood draw at the hospital was “reasonable and constitutional, and the related blood
test will not be suppressed,” unless he has shown “both ‘that his blood would not

No. 2025AP1894-CR
9
have been drawn if police had not been seeking BAC information,’ and ‘that police
could not have reasonably judged that a warrant application would interfere with
other pressing needs or duties.’” See id. (emphasis added; citation omitted).
¶18 We first consider whether at the time of the blood draw law
enforcement had probable cause to believe Pierangeli had been operating a motor
vehicle while intoxicated. The probable cause determination turns on whether the
totality of the circumstances within the officer’s knowledge would lead a reasonable
officer to believe the suspect probably committed a crime. State v. Kutz, 2003 WI
App 205, ¶11, 267 Wis. 2d 531, 671 N.W.2d 660. “It is only necessary that the
information lead a reasonable officer to believe that guilt is more than a possibility.”
State v. Paszek, 50 Wis. 2d 619, 625, 184 N.W.2d 836 (1971). The undisputed
evidence convinces us law enforcement had probable cause to believe Pierangeli
had committed the offense of operating a motor vehicle while intoxicated, and
additionally, causing felonious harm and death to passengers while doing so.
¶19 Shortly before 3:25 a.m., Pierangeli swerved on the roadway
“multiple times” and was driving at a high rate of speed before going “airborne,”
“run[ning] off the road” and striking a building so directly that the vehicle
“protruded pretty deeply into [the] concrete block structure.” At a stoplight just
moments before, a passenger in the vehicle “was hanging out the window and …
blowing kisses” at an ambulance driver who subsequently responded to the crash of
this same vehicle. The passenger was also “doing some other types of unusual
things.” The conduct of the passenger and the swerving of the driver, especially
occurring not long after bar closing time, see State v. Post, 2007 WI 60, ¶36, 301
Wis. 2d 1, 733 N.W.2d 634 (stating that time of night “does lend some further
credence” to an officer’s suspicion of intoxicated driving), gave law enforcement
significant reason to believe the individuals in the vehicle, including the swerving

No. 2025AP1894-CR
10
driver, were impaired by drugs or alcohol. Indeed, as the sergeant indicated based
on his third shift experience, drivers who crash shortly after bar closing time like
this “historically … have some sort of impairment involving alcohol or drugs.”
¶20 Add to this evidence the otherwise inexplicable nature of the crash—
the vehicle leaving the roadway and striking a large, immovable object, the
building—and the totality of the circumstances here met the probable cause
threshold; guilt was “more than a possibility.” See Paszek, 50 Wis. 2d at 625.
Absent some significant cause, like extremely bad weather or road conditions, sober
individuals do not just leave the roadway, go airborne, and crash so directly into a
concrete building as to “protrude[] deeply into” it. No evidence was presented of
bad weather, bad road conditions, or any other possible cause. The most reasonable
inference as to the cause of the crash, particularly at this time of night, was
impairment by either alcohol or drugs.1
¶21 Probable cause determined and Pierangeli’s unconscious state
undisputed, we must conclude under Mitchell that the blood draw here was
constitutional unless Pierangeli has shown “both ‘that his blood would not have
been drawn if police had not been seeking BAC information,’ and ‘that police could
not have reasonably judged that a warrant application would interfere with other
pressing needs or duties.’” See Mitchell, 404 Wis. 2d 103, ¶12 (citation omitted).
1 There was testimony presented by the “paramedic [l]ieutenant” from the Kenosha Fire
Department that a co-worker smelled alcohol emitting from Pierangeli. We do not consider this
evidence in our probable cause determination, as nothing in the testimony indicates law
enforcement became aware of the co-worker’s knowledge on this point prior to the blood draw.
See State v. Rissley, 2012 WI App 112, ¶19, 344 Wis. 2d 422, 824 N.W.2d 853 (“[U]nder the
collective knowledge doctrine, ‘[t]he police force is considered as a unit and where there is
police-channel communication to the arresting officer and he acts in good faith thereon, the arrest
is based on probable cause when such facts exist within the police department.’” (emphasis added;
citation omitted)).

No. 2025AP1894-CR
11
We need go no further than the first point, as the evidence clearly showed that the
hospital staff drew Pierangeli’s blood for its own purposes in treating him.
By the Court.—Judgment affirmed.
This opinion will not be published. See WIS. STAT.
RULE 809.23(1)(b)5 (2023-24).

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