Two Colorado paramedics were convicted of criminally negligent homicide in the 2019 death of Elijah McClain, a young unarmed Black man whose case drew national attention and forced public safety reforms in the city where he lived and died.
A mostly white jury found the paramedics, Peter Cichuniec and Jeremy Cooper, guilty of a more serious charge they faced. But the jury split on two lesser assault charges: They cleared Mr. Cooper of both assault charges, but convicted Mr. Cichuniec of one of those charges, second-degree assault for the unlawful administration of drugs.
The men had injected Mr. McClain with the powerful sedative ketamine while he was in police custody in Aurora, Colo., which doctors said left him near death. He died days later in the hospital.
The trial was a rare prosecution of paramedics, and raised the question of the role that medical personnel play in police encounters and whether they could be held criminally responsible for their actions.
Ketamine makes you go night night and forget to breathe. Probably not a good idea to inject someone with it without a way to protect their airway.
Not to mention they never did an evaluation, they never checked vital signs, they didn’t do any attempt at administering this medication safely. They fucked up utterly and completely. So did the cops. So did the fucker that called 911. Society let this young man down every step of the way.
I’m out of the loop – what did the 911 caller do?
Called the cops bc he was wearing a ski mask and therefore looked suspicious
Damn. Especially if it was cold out at the time, then that’s inexcusable. But even if it wasn’t, there are reasons to wear a ski mask that don’t involve breaking the law, so calling the cops for that seems stupid if that was their only reason for making the call.
*outside walking while it was cold.
Made a phone call that got a completely innocent person killed.
Wouldn’t there be other more appropriate medications to calm someone without the possibility respitory arrest? Something like Xanax or Ativan for example? Not a pharmacist but Ketamine seems kinda hardcore.
This may be completely wrong but I’m guessing ketamine so they can inject it rather than waiting on non injection medication. I’m not sure if the other two can be injected or if available but it was a thought I had for reasoning. Not that any of this situation was handled with reasoning, it’s another tragedy in a long list of them. I have enough anxiety myself I can’t imagine what that poor guy went through in his final moments.
Benzos have their issues, but I’d probably go there in case of something like a postictal psychosis, with Haldol being a second line. Ketamine and PCP have a similar mechanism of action, so it doesn’t feel like a great med for someone with psychosis, but I’m also not a doctor or nurse, I just play one on
TVthe Internet.Ketamine, as I currently understand it, is not known for depressing the respiratory system. Usually when people asphyxia during ketamine use it’s because they’ve gone unconscious and then vomit and choke on that, which is one reason why mixing ketamine and alcohol is generally a very bad idea.
"Respiratory: apnea, increased laryngeal, and tracheal secretions, laryngospasm, airway obstruction in infants (may not be drug-related), respiratory depression " see the adverse effects here: https://www.ncbi.nlm.nih.gov/books/NBK470357/
Your reference, at least in this particular quote mentioned in infants so I’m not sure how that translates to teenagers or adults. But, yeah, looks like you’re right in at least high doses or very fast IV infusions, which I think this case covers both a high dose and a very rapid IV infusion. But I believe at what would be considered a normal dose there seems to be very little risk of respiratory depression.
“Consequently, ketamine-induced apnea or respiratory depression are transient and rare in case of occurrence, and result frequently from rapid IV infusion.”
https://journals.sagepub.com/doi/10.1177/2045125320981498
“Ketamine generally maintains normal pharyngeal and laryngeal reflexes and, therefore, permits spontaneous respiration. It slightly enhances or maintains normal skeletal muscle tone and is associated with cardiovascular and respiratory stimulation. These characteristics make it particularly useful in the emergency department setting for short-term procedures, especially as is often the case when a patient has not been “prepped” for an emergency procedure. Since there is no guarantee of maintenance of the pharyngeal and laryngeal reflexes, there can be no assumption that they will “protect” the airway. Additionally, there may be transient minimal respiratory depression if the medication is administered too rapidly or in too high a dose. Therefore, the physician must be ready to perform emergency intubation.” From the same article I linked earlier.
We can go back and forth all day, but ultimately they gave a medication that demanded a higher level of care than was provided and it was an appropriate sentence.