DENVER (AP) - A Black man died after a police encounter in a Denver suburb in 2019 because he was injected with a powerful sedative after being forcibly restrained, according to an amended autopsy report publicly released Friday.
Despite the finding, the death of Elijah McClain, a 23-year-old massage therapist, was still listed as undetermined, not a homicide, the report shows. McClain was put in a neck hold and injected with ketamine after being stopped by police in Aurora for "being suspicious." He was unarmed.
The original autopsy report that was written soon after his death in August 2019 did not reach a conclusion about how he died or what type of death is was, such as if it was natural, accidental or a homicide. That was a major reason why prosecutors initially decided not to pursue charges.
But a state grand jury last year indicted three officers and two paramedics on manslaughter and reckless homicide charges in McClain's death after the case drew renewed attention following the killing of George Floyd in 2020. It became a rallying cry during the national reckoning over racism and police brutality.
The five accused have not yet entered pleas and their lawyers have not commented publicly on the charges.
The findings of the amended autopsy report, updated in July 2021, echo an opinion included in the grand jury indictment handed down about two months later from an unspecified pathologist who concluded McClain died of complications of being injected with ketamine, a sedative, while being violently subdued and restrained by law enforcement and emergency responders. It is not clear whether that pathologist is the same one, Dr. Stephen Cina, who updated the autopsy report.
In the updated report, Cina concluded that the ketamine dosage given to McClain, which was higher than recommended for someone his size, "was too much for this individual and it resulted in an overdose, even though his blood ketamine level was consistent with a 'therapeutic' blood concentration."
He also said he could not rule out that metabolic changes in McClain's blood due to exertion during his restraint contributed to his death, and that there was no evidence that injuries inflicted by police caused his death.
"I believe that Mr. McClain would most likely be alive but for the administration of ketamine," said Cina, who noted that body camera footage shows McClain becoming "extremely sedated" within a few minutes of being given the drug.
Cina acknowledged that other reasonable pathologists with different experience and training may have labeled such a death, while in police custody, as a homicide or accident, but that he believes the appropriate classification is undetermined.
Qusair Mohamedbhai, attorney for McClain's mother, Sheneen McClain, declined a request for comment.
The updated autopsy was released Friday under a court order in a lawsuit brought by Colorado Public Radio, joined by other media organizations including The Associated Press. Colorado Public Radio sued the coroner to release the report after learning it had been updated, arguing that it should be made available under the state's public records law.
Coroner Monica Broncucia-Jordan said she could not release it because it contained confidential grand jury information and that releasing it would violate the oath she made not to share it when she obtained it last year.
But Adams County District Judge Kyle Seedorf ordered the coroner to release the updated report by Friday, and a Denver judge who oversees state grand jury proceedings, Christopher Baumann, ruled Thursday that grand jury information did not have be redacted from the updated report.
McClain's death fueled renewed scrutiny about the use of the ketamine and led Colorado's health department to issue a new rule limiting when emergency workers can use it.
Last year, the city of Aurora agreed to pay $15 million to settle a lawsuit brought by McClain's parents. The lawsuit alleged the force officers used against McClain and his struggle to survive it dramatically increased the amount of lactic acid in his system, leading to his death, possibly along with the large dose of ketamine he was given.
An outside investigation commissioned by the city faulted the police probe into McClain's arrest for not pressing for answers about how officers treated him. It found there was no evidence justifying officers' decision to stop McClain, who had been reported as suspicious because he was wearing a ski mask as he walked down the street waving his hands. He was not accused of breaking any law.
Police reform activist Candice Bailey had mixed emotions about seeing the amended autopsy.
"I do believe that it does get us a step closer to anything that is a semblance of justice," said Bailey, an activist in the city of Aurora who has led demonstrations over the death of McClain.
But Bailey added that she is "extremely saddened that there is still a controversy around whether or not the EMTs and officers should be held responsible for what they did, and as to whether or not this was actually murder."
Associated Press reporter Jesse Bedayn contribute to this report. Bedayn is a corps member for the Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.