Driver who refused medical aid after crashing truck died of blunt force trauma

Justin Spisak, the San Luis Obispo man who declined medical aid after crashing his truck in the North County on Nov. 27, died of blunt force trauma to the head, with multiple drugs in his system contributing to his death, Sheriff's Department officials said Monday.

The blunt force trauma was from the crash that happened after Spisak's truck rolled off El Camino Real and into a ditch just south of Atascadero, officials said.

"The question is had he not refused medical aid, could the ER have detected the blunt force trauma wound that was not visible from the outside," Sheriff's Department spokesman Rob Bryn said. "And we just don't know."

The 21-year-old apparently decided to forgo help because he said he was not hurt, police have said. He then reportedly went to bed and didn't wake up that morning.

There were no traces of alcohol in his system, according to the toxicology report, and the drugs in his system were benzodiazepine, methadone trazodone and valproic acid.

The coroner was not available at press time to describe the drugs or say why Spisak was taking them.

Spisak's family previously declined to discuss his medical history or motivations in declining aid, saying that recalling his death was too emotionally difficult to talk about. They did, however, describe a young man who never dwelled on the past, looked to the future and spent each day in between focusing on the people he loved.

Officials aren't certain on how long the drugs had been in Spisak's system at time of his death, adding those results are still several weeks away.

- Tonya Strickland