Efren Saldivar
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Efren Saldivar (born September 30, 1969) is an American
serial killer A serial killer (also called a serial murderer) is a person who murders three or more people,An offender can be anyone: * * * * * (This source only requires two people) with the killings taking place over a significant period of time in separat ...
who murdered patients while working as a
respiratory therapist A respiratory therapist is a specialized healthcare professional, healthcare practitioner trained in Intensive care medicine, critical care and cardio-pulmonary medicine in order to work therapeutically with people who have acute critical condit ...
at
Adventist Health Glendale Adventist Health Glendale is a non-profit hospital campus in Glendale, California, United States that is owned by Adventist Health. Adventist Health Glendale, located on Wilson Terrace, near California State Route 2 and California State Route 13 ...
, named at that time Glendale Adventist Medical Center in
Glendale, California Glendale is a city located primarily in the Verdugo Mountains region, with a small portion in the San Fernando Valley, of Los Angeles County, California, United States. It is located about north of downtown Los Angeles. As of 2024, Glendale ha ...
.


Early life

Born in
Brownsville, Texas Brownsville ( ) is a city in the U.S. state of Texas and the county seat of Cameron County, Texas, Cameron County, located on the western Gulf Coast in South Texas, adjacent to the Mexico–United States border, border with Matamoros, Tamaulipas ...
, he graduated from the College of Medical and Dental Careers in
North Hollywood, California North Hollywood is a neighborhood and district in the San Fernando Valley of Los Angeles, California. The neighborhood contains the NoHo Arts District, El Portal Theater, several art galleries, and the Academy of Television Arts & Sciences. Th ...
in 1988. He obtained work as a respiratory therapist employed by the
Glendale Adventist Medical Center Adventist Health Glendale is a non-profit hospital campus in Glendale, California, United States that is owned by Adventist Health. Adventist Health Glendale, located on Wilson Terrace, near California State Route 2 and California State Rout ...
, working the
night shift The shift plan, rota or roster (esp. British) is the central component of a schedule (workplace), shift schedule in shift work. The schedule includes considerations of shift overlap, shift change times and alignment with the clock, vacation, train ...
when there were fewer staff on duty.


Murders

While working at
Adventist Health Glendale Adventist Health Glendale is a non-profit hospital campus in Glendale, California, United States that is owned by Adventist Health. Adventist Health Glendale, located on Wilson Terrace, near California State Route 2 and California State Route 13 ...
in Glendale, California, Saldivar killed his patients by injecting a
paralytic Paralysis (: paralyses; also known as plegia) is a loss of motor function in one or more muscles. Paralysis can also be accompanied by a loss of feeling (sensory loss) in the affected area if there is sensory damage. In the United States, ...
drug which led to respiratory and/or
cardiac arrest Cardiac arrest (also known as sudden cardiac arrest CA is when the heart suddenly and unexpectedly stops beating. When the heart stops beating, blood cannot properly Circulatory system, circulate around the body and the blood flow to the ...
. These drugs could have included
morphine Morphine, formerly also called morphia, is an opiate that is found naturally in opium, a dark brown resin produced by drying the latex of opium poppies (''Papaver somniferum''). It is mainly used as an analgesic (pain medication). There are ...
and
suxamethonium chloride Suxamethonium chloride (brand names Scoline and Sucostrin, among others), also known as suxamethonium or succinylcholine, or simply sux in medical abbreviation, is a medication used to cause short-term paralysis as part of general anesthesia. T ...
as they were found in his locker with fresh and used syringes.All about Efren Saldivar
, by Katherine Ramsland, at Crimelibrary.com
Pancuronium Pancuronium (trademarked as Pavulon) is an aminosteroid muscle relaxant with various medical uses. It is used in euthanasia and is used in some states as the second of three drugs administered during lethal injections in the United States. Mech ...
(brand name Pavulon) was used in six murders; this drug is used to stop a patient's
respiration Respiration may refer to: Biology * Cellular respiration, the process in which nutrients are converted into useful energy in a cell ** Anaerobic respiration, cellular respiration without oxygen ** Maintenance respiration, the amount of cellul ...
when they are about to be put on a
medical ventilator A ventilator is a type of breathing apparatus, a class of medical technology that provides mechanical ventilation by moving breathable air into and out of the lungs, to deliver breaths to a patient who is physically unable to breathe, or breathi ...
. He was careful in the selection of his victims, choosing those who were unconscious and close to death. This led to no easily detectable rise in the rate or distribution of patient deaths when he was on duty. This in turn hampered the investigation, as there were no easily discernible correlations between changes in the distribution or rate of deaths and his shift pattern (a commonly used tool in examining whether
malpractice In the law of torts, malpractice, also known as professional negligence, is an "instance of negligence or incompetence on the part of a professional".Malpractice definition, Professionals who may become the subject of malpractice actions inc ...
is taking place). His employment was ended on March 13, 1998. Shortly afterward, he confessed to 50 murders (a confession he later retracted). In searching for evidence that would be strong enough to obtain a conviction, police exhumed the remains of patients who had died while Saldivar had been on duty and been buried (rather than
cremated Cremation is a method of Disposal of human corpses, final disposition of a corpse through Combustion, burning. Cremation may serve as a funeral or post-funeral rite and as an alternative to burial. In some countries, including India, Nepal, and ...
). The marker that was being sought was unusually high levels of Pavulon in the cadaver, as this drug remains identifiable for many months (unlike succinylcholine chloride and
morphine Morphine, formerly also called morphia, is an opiate that is found naturally in opium, a dark brown resin produced by drying the latex of opium poppies (''Papaver somniferum''). It is mainly used as an analgesic (pain medication). There are ...
which are decomposed into innocuous compounds relatively quickly). Police selected 20 bodies to exhume out of a total of 1,050 patients who had died at Glendale Adventist during Saldivar's shifts. After the exhumations, six cadavers had evidence of a lethal concentration of Pavulon. The medical records of these patients showed that the Pavulon found in their bodies was not prescribed to them by a medical professional. On March 12, 2002, at age 32, Saldivar
pleaded guilty In law, a plea is a defendant's response to a criminal charge. A defendant may plead guilty or not guilty. Depending on jurisdiction, additional pleas may be available, including '' nolo contendere'' (no contest), no case to answer (in the ...
to six counts of murder and received seven consecutive
life sentence Life imprisonment is any sentence of imprisonment under which the convicted individual is to remain incarcerated for the rest of their natural life (or until pardoned or commuted to a fixed term). Crimes that result in life imprisonment are c ...
s without the possibility of
parole Parole, also known as provisional release, supervised release, or being on paper, is a form of early release of a prisoner, prison inmate where the prisoner agrees to abide by behavioral conditions, including checking-in with their designated ...
. Saldivar is incarcerated at California State Prison in
Corcoran, California Corcoran is a city in Kings County, California, United States. As of the 2020 United States census, 2020 census, its population was 22,339, down from 24,813 2010 United States census, (2010 census). Corcoran is located south-southeast of Han ...
.


Number of victims

In his initial confession in 1998, Saldivar told police that he actively killed up to 50 patients and he contributed to the deaths of between 100 and 200 patients. Saldivar later confessed to killing at least 60 patients by 1994, claiming that he "lost count" after that but continued killing for at least three more years. Sergeant John McKillop of the Glendale Police Department led the investigation which was fully supported by Adventist Health Glendale. Statistical analysis indicates that the total number of murders committed by Saldivar could be as high as 200, but no convincing physical evidence will ever be available to confirm or refute this possibility due to bodies being cremated after death or simply the effects of bodily harm.


Victims

* Jose Alfaro * Salbi Asatryan – Victim's family accepted a $60,000 settlement from the hospital. * Myrtle Brower * Balbino Castro * Jean Coyle – the only victim who survived. * Luina Schidlowski * Eleanora Schlegel


See also

*
List of serial killers in the United States A serial killer is typically a person who kills three or more people, with the murders taking place over more than a month and including a significant period of time between them. The Federal Bureau of Investigation (FBI) defines serial murder a ...
*
List of serial killers by number of victims A serial killer is typically a person who murders three or more people, in two or more separate events over a period of time, for primarily psychological reasons.''Macmillan Encyclopedia of Death and Dying'' entry o"Serial Killers" (2003) by Sa ...


References

{{DEFAULTSORT:Saldivar, Efren 1969 births American male criminals American people convicted of murder American people of Mexican descent American prisoners sentenced to life imprisonment Health care professionals convicted of murdering patients People convicted of murder by California People from Brownsville, Texas Prisoners sentenced to life imprisonment by California Living people Medical serial killers Poisoners Serial killers from California Respiratory therapists