Why BOTH Garrote & Head Bash?

I cannot resolve this part of the night's scenario - can someone please help:

Once JBR received the head bash, she was knocked out but there were no signs of scalp injury or bleeding, so WHY did the perp proceed to murder her by strangling her?
How come she was not taken to the ER?

A few possibilities:

1) PR was afraid she'd wake up and tell what happened.

2) PR was afraid JB would be brain-damaged for life. She wouldn't be the first mother to "pull the plug."

3) They were afraid that, live or die, the vaginal injuries would be discovered.

That's just three I can think of now. There's about a gajillion theories out there.

I just don't get this at all, esp if it was PR who administered the head blow.
A mother's natural reaction would be to rush their child to the hospital.

Maybe it was and SOMEONE talked her out of it? Just spitballing.

Now, if BR was the perp then he could have proceeded to strangle her as part of his 'game' or whatever he was doing. But if it was PR and JR who found them in this predicament with JBR knocked out from the head blow - why not take JBR to the ER?

Thanks for your ideas on this - sorry if this is elementary, but it has been bugging me for a very long time.

I'm afraid I can't help you there.
 
One of the forensic specialists who studied and commented on the case said that given the evidence of sexual abuse, if she had been brought to a hospital, the father would have been arrested. It was either Wecht or Spitz. It wasn't Lee.
 
One of the forensic specialists who studied and commented on the case said that given the evidence of sexual abuse, if she had been brought to a hospital, the father would have been arrested. It was either Wecht or Spitz. It wasn't Lee.

I think that was Kirschner.
 
Sandstorm,
There are two parts to any RDI theory, one that explains her sexual assault and associated injuries, and another which explains the staging.

Whacking JonBenet on the head was meant to kill her and offer an explanation for her death. Except it failed, she was still breathing and there was no obvious injury evident to the naked eye, so to explain her current condition.

So the person who whacked JonBenet on the head, thought about this for a while, then decided to ligature asphyxiate her. This accomplished, she was cleaned up, redressed and moved down to the basement, where say PR applied the paintbrush handle?

Does it matter if it all happened up in her bedroom or a combination of the latter and the basement?

I think not. Since we have three events some of which are staging and we know they took place in a particular sequence. e.g. JonBenet's size-12's are, according to the Autopsy Report: urine stained ... and the inner aspect of the crotch ... has several red areas of staining, suggesting these were placed on her prior to her being ligature asphyxiated?


Taking JonBenet to ER would require an immediate explanation for her internal injuries and the likely arrest of JR and PR on the spot.

JonBenet's fake crime-scene is intended to hide her sexual assault from immediate view, and mask what originally caused her to become unconcious, this was the rationale behind the Ransom Note, which explains why she was moved from upstairs to downstairs, i.e. IDI.

.

Thanks to all for the replies to "WHY strangle?" which was bugging me....

I bolded UKGUY's post above to say that I had always thought she was hit on the head to make her stop screaming and that the blow was not intended to be lethal.

But your post makes a lot of sense; if she was bashed on the head with such force that it severely cracked her skull and rendered her unconscious, then the stike to her head WAS intended to kill her. And since the head injury did not kill her, then plan 2 was the strangulation.

And now - I ponder was it BR or PR? I don't think it was JR.
I come back to BR for one main reason and that is due to the cohesive stand that both parents took to say it was the IDI.

I also think if PR killed JBR that cool manipulative JR would have covered for PR rather than expose her and reap the scandal/embarrasment.

But if JR had killed JBR, that PR would not have been able to cover for JR so easily because she was the MOTHER. She would have blamed JR for killing her daughter.

If the golf club was used to whack JBR in the head, as supported on forums for justice, then I think it was BR:
http://www.forumsforjustice.org/forums/showthread.php?t=10160&page=6

I rest my case ... for now.:seeya:
 
Sandstorm,
There are two parts to any RDI theory, one that explains her sexual assault and associated injuries, and another which explains the staging.

Whacking JonBenet on the head was meant to kill her and offer an explanation for her death. Except it failed, she was still breathing and there was no obvious injury evident to the naked eye, so to explain her current condition.

So the person who whacked JonBenet on the head, thought about this for a while, then decided to ligature asphyxiate her. This accomplished, she was cleaned up, redressed and moved down to the basement, where say PR applied the paintbrush handle?

Does it matter if it all happened up in her bedroom or a combination of the latter and the basement?

I think not. Since we have three events some of which are staging and we know they took place in a particular sequence. e.g. JonBenet's size-12's are, according to the Autopsy Report: urine stained ... and the inner aspect of the crotch ... has several red areas of staining, suggesting these were placed on her prior to her being ligature asphyxiated?


Taking JonBenet to ER would require an immediate explanation for her internal injuries and the likely arrest of JR and PR on the spot.

JonBenet's fake crime-scene is intended to hide her sexual assault from immediate view, and mask what originally caused her to become unconcious, this was the rationale behind the Ransom Note, which explains why she was moved from upstairs to downstairs, i.e. IDI.

.

There are two parts to any RDI theory, one that explains her sexual assault and associated injuries, and another which explains the staging.

Whacking JonBenet on the head was meant to kill her

If the blow to the head was meant to kill her, then, JonBenet's death was a homicide; a premeditated murder and not an accident. If the killer was standing behind her, poised to strike the tiny girl's head, JonBenet may not have known she was about to die. Only she had been horribly molested and abused while alive. My fear is this beautiful child was terrified. This time the molestation was rougher, causing bleeding, and the knots around her neck were tighter while she was still alive.

If in doubt about JonBenet's chronic sex abuse the, please see otg's documented proof
[ame="http://www.websleuths.com/forums/showpost.php?p=10020511&postcount=67"]http://www.websleuths.com/forums/showpost.php?p=10020511&postcount=67[/ame]

For anyone who ever wants to question whether or not JonBenet was sexually abused/molested/assaulted/raped (whatever term you choose to call it), PLEASE read the autopsy report.

When it was first released publicly, much of it was redacted and speculation (even by "experts") went both ways. But once the full report was released (against the wishes of the coroner, Dr. Meyer), there should be no doubt in anyone's mind exactly how much "punishment" this little child's genitals had received. I'll post the pertinent portions here, and I encourage anyone who has any doubt about something to look up each and every word they are not sure of so there is no mistaking what happened to her. This is so important to understanding what happened regardless of what any so-called expert might say. I don't care about IDI, RDI, PR, JR, BR, JAR, JMK, or SFF... It doesn't matter. Whoever did this, was abusing her, and did so just before she died. That is not my opinion -- that is a fact.

This from the section of the AR called the "EXTERNAL EVIDENCE OF INJURY":
On the anterior aspect of the perineum, along the edges of closure of the labia majora, is a small amount of dried blood. A similar small amount of dried and semifluid blood is present on the skin of the fourchette and in the vestibule. Inside the vestibule of the vagina and along the distal vaginal wall is reddish hyperemia. This hyperemia is circumferential and perhaps more noticeable on the right side and posteriorly. The hyperemia also appears to extend just inside the vaginal orifice. A 1 cm red-purple area of abrasion is located on the right posterolateral area of the 1x1 cm hymenal orifice. The hymen itself is represented by a rim of mucosal tissue extending clockwise between the 2 and 10:00 positions. The area of abrasion is present at approximately the 7:00 position and appears to involve the hymen and distal right lateral vaginal wall and possibly the area anterior to the hymen. On the right labia majora is a very faint area of violet discoloration measuring approximately one inch by three-eighths of an inch. Incision into the underlying subcutaneous tissue discloses no hemorrhage. A minimal amount of semiliquid thin watery red fluid is present in the vaginal vault. No recent or remote anal or other perineal trauma is identified.
The following is from the section called the "MICROSCOPIC DESCRIPTION: (All sections Stained with H&E)":
(Note that the following results come from microscopic examination of the cellular structures of tissue. IOW, it's something that can be objectively seen by the doctor -- not simply his subjective opinion. The staining with H&E is explained here.)
Vaginal Mucosa: All of the sections contain vascular congestion and focal interstitial chronic inflammation. The smallest piece of tissue, from the 7:00 position of the vaginal wall/hymen, contains epithelial erosion with underlying capillary congestion. A small number of red blood cells is present on the eroded surface, as is birefringent foreign material. Acute inflammatory infiltrate is not seen.
The Ramseys have tried to play down the sexual aspects of this, and they've even tried to deny that JonBenet was sexually abused (sometimes through their lawyers). Ask yourself why they would do that. Unless they were trying to protect someone for whatever the reason, why on earth wouldn't they be just as enraged as any other parent of a child who was raped and murdered? Why wouldn't they be constantly screaming in the press about the monster who molested their daughter before he killed her? Instead, they go on any show that will have them whimpering and whining about how much they have had to endure, and denying that JonBenet was sexually abused.

This from the section of the AR called the "EXTERNAL EVIDENCE OF INJURY":
On the anterior aspect of the perineum, along the edges of closure of the labia majora, is a small amount of dried blood. A similar small amount of dried and semifluid blood is present on the skin of the fourchette and in the vestibule. Inside the vestibule of the vagina and along the distal vaginal wall is reddish hyperemia. This hyperemia is circumferential and perhaps more noticeable on the right side and posteriorly. The hyperemia also appears to extend just inside the vaginal orifice. A 1 cm red-purple area of abrasion is located on the right posterolateral area of the 1x1 cm hymenal orifice. The hymen itself is represented by a rim of mucosal tissue extending clockwise between the 2 and 10:00 positions. The area of abrasion is present at approximately the 7:00 position and appears to involve the hymen and distal right lateral vaginal wall and possibly the area anterior to the hymen. On the right labia majora is a very faint area of violet discoloration measuring approximately one inch by three-eighths of an inch. Incision into the underlying subcutaneous tissue discloses no hemorrhage. A minimal amount of semiliquid thin watery red fluid is present in the vaginal vault. No recent or remote anal or other perineal trauma is identified.


This precious baby girl was likely ambushed from behind with a deadly blow to her head with enough force meant to kill her. Maybe she was distracted by looking at the 1996 Holiday Barbie found in or near the hell hole. She was viscously molested, sexually abused, while she was alive. She was intentionally strangled with a cord that her mother purchased at the local hardware shop days earlier. Strangulation is a slow, up close and personal kind of murder. For added drama, the garrote was tied to the cord. That's just plain cruel. She received injuries from an insertion by digital penetration that is described in the AR. I think she was molested in her bed then taken to the basement to her death.

That additional damage of jamming a ragged paintbrush into the child was for anger; not staging. Maybe it's intention was to call attention to the prior abuse and not distract from it. But that was unnecessary evil perpetrated against JonBenet. Surely Patsy knew fresh bloody abrasions would not disguise the previous erosion of the hymen, size of the vagina opening, et al.

Why the overkill? Why was Patsy allowing her daughter to suffer these multiple layers of degradations during her final hours? Why keep planning a strangulation by garrotte?

Why are there no signs of a struggle by JonBenet anywhere? There is an abrasion on her back shoulder where maybe she rubbed against the carpet too hard.

Why does her tiny body not display any defensive wounds? Only torture marks.

And that red heart on her hand that Patsy drew pretty good so wherever JB would go, they would go there together.

JonBenet likely never went to bed for long in her bedroom Christmas night. Her bed actually appears as it did during Christmas Day when she placed her pillow at the opposite end to be closer for viewing movies on the television in the closet.

Patsy probably hoped the multiple ways Jon Benet was killed would lend credence to an IDI.

The pictures of JARs bed where she was packing for the Disney trip showed a huge array of clothing and seemingly little order to it at all. Their clothes were not packed and ready for the week's cruise. Was Patsy insincere in her packing for Florida bc she knew they would not be going?
 
The pictures of JARs bed where she was packing for the Disney trip showed a huge array of clothing and seemingly little order to it at all. Their clothes were not packed and ready for the week's cruise. Was Patsy insincere in her packing for Florida bc she knew they would not be going?
and she placed so much emphasis on the effort she expended in getting that done (except it wasn't)

LE asked about laying out clothing for the kids to put on in the morning, as she normally did, and she had not done that (IIRC she said the kids often wore their pjs on the plane. not sure I believe that)
 
I've been curious about what Patsy had for herself to take to Michigan, and if she had a makeup bag packed. She was rich and could have things in both places, but colrs change and women have favorite products. That would have been a good indicator to see if she really intended to travel or not. She didn't work, clean house, or probably cook much. She should have had all gifts and bags ready to go and sitting by the door.
 
Sounds to me like she had a full time job just cleaning up poop. Apparently, it was everywhere.
 
Would Burke be able to do this?

Only eleven pounds of pressure placed on both carotid arteries for ten seconds is necessary to
cause unconsciousness. How-ever, if pressure is released immediately, consciousness will be
regained within ten seconds. To completely close off the trachea, three times as much pressure
(33 lbs.) is required. Brain death will occur in 4 to 5 minutes, if strangulation persists.

http://www.ncdsv.org/images/strangulation_article.pdf

I assume JB was already unconscious and head bash was first. JMO
Could Burke sustain that pressure for 4 to 5 minutes?
Could some of the places that look like other marks be his letting up on the pressure from being tired and then pull it again?
Maybe because of JB head bash it would not take 4 to 5 min.

Just wondering.
 
I was thinking about this today, and I had a new thought. Hope I can type this so it's easy to follow.

I was reading the autopsy report yesterday, and whether I forgot this or never read it before (honestly can't remember), I noticed the ME noted that there was both urine and a small amount of blood in the size 12 panties. That tells us without a doubt that at least some of the staging was going on before she was dead. Forgive me if you're already aware of that, just trying to make sure I lay this all out.

So I'm wondering....is it possible that after the head bash her pulse was so weak that it couldn't be felt, and she was assumed to be dead at that time? The clean-up/staging is in progress, and JonBenet starts vomiting. As I believe JR did the clean-up, I'm going to use him in this instance. JR cleans up the vomitus, thinking that it is possible for one to vomit postmortem. She vomits more. JR tells PR to bring him some tape to cover her mouth. She can't find any. While she's looking, JR sees the cord and decides if he can close off the esophagus, then the vomit can't exit the mouth. Since it would need to remain tightened to achieve it's intended purpose, he'll need something that can keep it tight without having to use his hands. He considers his options, looks around, sees Patsy's art supplies and there's the paintbrush. He fashions the garrote and tightens it. Some time afterward, tape is found and as it assists in looking like an actual kidnapping, is also applied over her mouth.

I admit I don't even know if this is possible, for the garrote to keep her from continuing to vomit...just trying to think about this from a different angle.
 
Thanks to all for the replies to "WHY strangle?" which was bugging me....

I bolded UKGUY's post above to say that I had always thought she was hit on the head to make her stop screaming and that the blow was not intended to be lethal.

But your post makes a lot of sense; if she was bashed on the head with such force that it severely cracked her skull and rendered her unconscious, then the stike to her head WAS intended to kill her. And since the head injury did not kill her, then plan 2 was the strangulation.

And now - I ponder was it BR or PR? I don't think it was JR.
I come back to BR for one main reason and that is due to the cohesive stand that both parents took to say it was the IDI.

I also think if PR killed JBR that cool manipulative JR would have covered for PR rather than expose her and reap the scandal/embarrasment.

But if JR had killed JBR, that PR would not have been able to cover for JR so easily because she was the MOTHER. She would have blamed JR for killing her daughter.

If the golf club was used to whack JBR in the head, as supported on forums for justice, then I think it was BR:
http://www.forumsforjustice.org/forums/showthread.php?t=10160&page=6

I rest my case ... for now.:seeya:

Sandstorm,
The head injury is always assumed to be an accident and to come first. Yet we are dealing with a staged crime-scene, nearly everything has been staged including wiping away signs of abuse and redressing JonBenet.

So why not the head injury too? It would also make sense from the R's perspective, since JonBenet is eventually ligature asphyxiated staged along with a piece of paintbrush handle?

The sexual assault precedes the head injury which precedes the ligature asphyxiation. Anyone of the R's could have whacked JonBenet on the head, but if it represents a failed first attempt at staging then my money is on one of the parents?

I think the parents were responsible for the staging, and they did such a good job of removing forensic evidence from upstairs, many people think the head injury was either accidental or intended to prevent JonBenet calling out?


So it goes something like this: BR tells his parents, there is something wrong with JonBenet, they respond to her coma with multiple attempts to revive her, when this fails, they decide to kill her, since a hospital visit means she would talk when she woke up?

They choose to whack her on the head it fails so ligature asphyxiation is up next, Patsy decides it all looks rather pedestrian and common so adds the dramatic flourish of the broken paintbrush handle, possibly even assaulting JonBenet with the remaining piece. "There thinks Patsy, everyone will know it was an intruder"

Then they move all the evidence down to the basement and elsewhere in the house.

.
 
I've been curious about what Patsy had for herself to take to Michigan, and if she had a makeup bag packed. She was rich and could have things in both places, but colrs change and women have favorite products. That would have been a good indicator to see if she really intended to travel or not. She didn't work, clean house, or probably cook much. She should have had all gifts and bags ready to go and sitting by the door.

Well, when shown a photo taken of the bottom of the spiral staircase, there were several items Patsy identified as bags that she prepared to go on the plane and one of her Christmas sweaters was possibly in the plastic bag on the floor. She indicated the family had plenty of clothing and personal items such as toothbrushes already at the lake house in Michigan. Patsy indicated everyone would likely take a heavy coat. IIRC, there was a Christmas tree decorated in Michigan, as arranged at the last moment, in anticipation of their arrival on the 26th.

When shown a photo of JAR's bed where she placed her children's two suitcases, Patsy had the audacity to utter something about the intruder must have been hiding under that bed since the bedskirt was not laying smoothly per usual.

Is there credible information available that demonstrates how far along Patsy was in packing her items for the Red Boat Cruise? IIRC, John would prepare his own belongings but had he?

33#s of pressure for 4 - 5 minutes for brain death to occur due to strangulation. Who in that house could conceive and carry out such evil?

jmo
 
Would Burke be able to do this?

Only eleven pounds of pressure placed on both carotid arteries for ten seconds is necessary to
cause unconsciousness. How-ever, if pressure is released immediately, consciousness will be
regained within ten seconds. To completely close off the trachea, three times as much pressure
(33 lbs.) is required. Brain death will occur in 4 to 5 minutes, if strangulation persists.

http://www.ncdsv.org/images/strangulation_article.pdf

I assume JB was already unconscious and head bash was first. JMO
Could Burke sustain that pressure for 4 to 5 minutes?
Could some of the places that look like other marks be his letting up on the pressure from being tired and then pull it again?
Maybe because of JB head bash it would not take 4 to 5 min.

Just wondering.

Charterhouse,
Of course he could, an arm lock around the neck or some variant would render JonBenet still, even if she struggled he might just tighten his grip, holding it too long, resulting in JonBenet lapsing into coma.

Remember some children simply freeze when their neck is constricted.



.
 
If the blow to the head was meant to kill her, then, JonBenet's death was a homicide; a premeditated murder and not an accident. If the killer was standing behind her, poised to strike the tiny girl's head, JonBenet may not have known she was about to die. Only she had been horribly molested and abused while alive. My fear is this beautiful child was terrified. This time the molestation was rougher, causing bleeding, and the knots around her neck were tighter while she was still alive.

If in doubt about JonBenet's chronic sex abuse the, please see otg's documented proof
http://www.websleuths.com/forums/showpost.php?p=10020511&postcount=67



This precious baby girl was likely ambushed from behind with a deadly blow to her head with enough force meant to kill her. Maybe she was distracted by looking at the 1996 Holiday Barbie found in or near the hell hole. She was viscously molested, sexually abused, while she was alive. She was intentionally strangled with a cord that her mother purchased at the local hardware shop days earlier. Strangulation is a slow, up close and personal kind of murder. For added drama, the garrote was tied to the cord. That's just plain cruel. She received injuries from an insertion by digital penetration that is described in the AR. I think she was molested in her bed then taken to the basement to her death.

That additional damage of jamming a ragged paintbrush into the child was for anger; not staging. Maybe it's intention was to call attention to the prior abuse and not distract from it. But that was unnecessary evil perpetrated against JonBenet. Surely Patsy knew fresh bloody abrasions would not disguise the previous erosion of the hymen, size of the vagina opening, et al.

Why the overkill? Why was Patsy allowing her daughter to suffer these multiple layers of degradations during her final hours? Why keep planning a strangulation by garrotte?

Why are there no signs of a struggle by JonBenet anywhere? There is an abrasion on her back shoulder where maybe she rubbed against the carpet too hard.

Why does her tiny body not display any defensive wounds? Only torture marks.

And that red heart on her hand that Patsy drew pretty good so wherever JB would go, they would go there together.

JonBenet likely never went to bed for long in her bedroom Christmas night. Her bed actually appears as it did during Christmas Day when she placed her pillow at the opposite end to be closer for viewing movies on the television in the closet.

Patsy probably hoped the multiple ways Jon Benet was killed would lend credence to an IDI.

The pictures of JARs bed where she was packing for the Disney trip showed a huge array of clothing and seemingly little order to it at all. Their clothes were not packed and ready for the week's cruise. Was Patsy insincere in her packing for Florida bc she knew they would not be going?


DeDee,
Yes, I reckon it was a premeditated murder. They could not afford to have JonBenet talking about her abuse. Its that simple, this is corroborated by the sexual assault being hidden, and not attributed to an intruder. i.e. they could have left JonBenet partially naked as evidence of a bedroom attack.

The R's just wanted to remove as much forensic evidence as possible, move JonBenet from upstairs to downstairs and blame some sociopathic intruder.

Lou Smit eventually took the bait and sided with the R's in looking for an intruder, despite there being a complete absence of evidence for such a theory.


.
 
Would Burke be able to do this?

Only eleven pounds of pressure placed on both carotid arteries for ten seconds is necessary to
cause unconsciousness. How-ever, if pressure is released immediately, consciousness will be
regained within ten seconds. To completely close off the trachea, three times as much pressure
(33 lbs.) is required. Brain death will occur in 4 to 5 minutes, if strangulation persists.

http://www.ncdsv.org/images/strangulation_article.pdf

I assume JB was already unconscious and head bash was first. JMO
Could Burke sustain that pressure for 4 to 5 minutes?
Could some of the places that look like other marks be his letting up on the pressure from being tired and then pull it again?
Maybe because of JB head bash it would not take 4 to 5 min.

Just wondering.

Are those the stats for a child or an adult to cause unconciousness?
 
TasteofHoney the pdf article did not say. I am sorry.
The article is in post 189 above.
 
Sandstorm,
The head injury is always assumed to be an accident and to come first. Yet we are dealing with a staged crime-scene, nearly everything has been staged including wiping away signs of abuse and redressing JonBenet.

So why not the head injury too? It would also make sense from the R's perspective, since JonBenet is eventually ligature asphyxiated staged along with a piece of paintbrush handle?

The sexual assault precedes the head injury which precedes the ligature asphyxiation. Anyone of the R's could have whacked JonBenet on the head, but if it represents a failed first attempt at staging then my money is on one of the parents?

I think the parents were responsible for the staging, and they did such a good job of removing forensic evidence from upstairs, many people think the head injury was either accidental or intended to prevent JonBenet calling out?


So it goes something like this: BR tells his parents, there is something wrong with JonBenet, they respond to her coma with multiple attempts to revive her, when this fails, they decide to kill her, since a hospital visit means she would talk when she woke up?

They choose to whack her on the head it fails so ligature asphyxiation is up next, Patsy decides it all looks rather pedestrian and common so adds the dramatic flourish of the broken paintbrush handle, possibly even assaulting JonBenet with the remaining piece. "There thinks Patsy, everyone will know it was an intruder"

Then they move all the evidence down to the basement and elsewhere in the house.

.

UKGuy,
I am a bit confused by the the content of the bolded section which I did for reference.
It seems you are saying that JB was unconscious then she was hit on the head?
That doesnt register with me.
Please enlighten me. Thanks.
 
I was thinking about this today, and I had a new thought. Hope I can type this so it's easy to follow.

I was reading the autopsy report yesterday, and whether I forgot this or never read it before (honestly can't remember), I noticed the ME noted that there was both urine and a small amount of blood in the size 12 panties. That tells us without a doubt that at least some of the staging was going on before she was dead. Forgive me if you're already aware of that, just trying to make sure I lay this all out.

So I'm wondering....is it possible that after the head bash her pulse was so weak that it couldn't be felt, and she was assumed to be dead at that time? The clean-up/staging is in progress, and JonBenet starts vomiting. As I believe JR did the clean-up, I'm going to use him in this instance. JR cleans up the vomitus, thinking that it is possible for one to vomit postmortem. She vomits more. JR tells PR to bring him some tape to cover her mouth. She can't find any. While she's looking, JR sees the cord and decides if he can close off the esophagus, then the vomit can't exit the mouth. Since it would need to remain tightened to achieve it's intended purpose, he'll need something that can keep it tight without having to use his hands. He considers his options, looks around, sees Patsy's art supplies and there's the paintbrush. He fashions the garrote and tightens it. Some time afterward, tape is found and as it assists in looking like an actual kidnapping, is also applied over her mouth.

I admit I don't even know if this is possible, for the garrote to keep her from continuing to vomit...just trying to think about this from a different angle.
Is there any evidence she vomited?
 
An interesting description of a garrotte that kind of looks like what was used on JB:

The "Crusher"

"The Garrotte. Thugs in India have long been known for their method of strangling, called garrotting. It can be executed with a rope, strong cord or a piece of twisted cloth about three feet long with a noose in one end. This is a garrotte. Properly applied, it produces a deadly, silent strangle.

Slip the noose over the forefinger of the right hand so that the loop lies down across the palm toward the little finger. Close the right hand and pick up the free end of the cord with the left hand, so that the thumb and fingers are on the inner side of the cord and the end is even with the little finger. Approach the victim from the rear and, opening the right hand, throw the loop over his head with the left. Use the left hand to draw the noose through the right hand until it is nearly taut about the neck. Then close the right hand about the noose at the back of the victim’s neck and twist as you would in applying a tourniquet. With your hand against the back of his neck and your right arm stiff, the victim is held at arm’s length and is unable to free himself from the strangling cord or to reach his attacker. A hard pull to the rear at this point will make the victim fall backward and cause his chin to fold down over the cord, thus adding his own body weight to the pressure of the strangle." ~Col. Rex Applegate, Kill or Get Killed

The illustration did not show but you can find it at :http://www.donrearic.com/thegarrotte.html

In the illustration above you can see the finishing position of what Applegate describes. The right hand is INSIDE the loop, when the loop is pulled tight around the neck and your hand, a fist is made with the open hand then the fist is cranked counterclockwise. Much like a stick in a tourniquet. The palm is open and oriented UP, then closed into a fist and oriented DOWN.

This looked very interesting to me.
 
Is there any evidence she vomited?

I know there were traces of a dried substance on her right cheek, and under the tape. I don't know that it is vomitus, but I don't know that it isn't, either.
 

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