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Appeals Court Overturns Paramedic Homicide Convictions

6/5/2026, 3:16:06 AM

Event Details

On Aug 24, 2019, 23-year-old Elijah McClain was stopped by Aurora police, placed in a carotid hold, and then treated by paramedics Jeremy Cooper and Peter Cichuniec. The paramedics gave 500 mg of ketamine based on weight estimates of 220 lb and 187 lb, though McClain weighed 143 lb. He suffered cardiac arrest and died three days later; a coroner linked his death to ketamine complications.

Timeline

Timeline: Aug 2019 – police restraint and paramedic ketamine injection; Sep 2021 – jury indictment of three officers and two paramedics; Dec 2023 – convictions for criminally negligent homicide and second-degree assault; Apr 2024 – Cooper sentenced to probation, Cichuniec’s sentence converted to probation; Sep 2024 – Cichuniec’s prison sentence vacated; Jun 2026 – appeals court reverses homicide convictions, orders new trials.

Legal Reasoning

The appeals panel found the trial judge’s instruction used a generic “reasonable person” standard, ignoring the specific duty of a paramedic treating a restrained patient. The court ruled the error was not harmless, mandating new trials.

Official Response

Colorado Attorney General Phil Weiser said the prosecutions sought justice for McClain and the Aurora community and pledged to defend the convictions through the appellate process.

Criticism of Excited Delirium

Medical critics argue that “excited delirium,” used to justify ketamine, lacks scientific basis and is rooted in racism, raising concerns about medical protocols in police encounters.

Conflicting Reports

Sources differ on Cooper’s sentencing—some note probation and work-release, others community-service. Weight estimates for dosing vary, contributing to the excessive ketamine dose. No source clarifies whether Cichuniec’s assault conviction will survive appeal.

Verbatim Quotes

  • “By telling the jurors to apply the ‘common and ordinary meanings’ of the words in the instruction, the court failed to shine any light on the issue and in fact misled the jurors as to the applicable standard of care: The proper standard wasn’t that of a generic reasonable person but of a person in Cooper’s profession under the existing circumstances,” — Colorado Court of Appeals
  • “A jury convicted two paramedics for the death of Elijah McClain, an innocent Black man who did nothing wrong that tragic night seven years ago.” — Phil Weiser, Attorney General
  • “When the jury doesn’t understand an element of the charged offense, “the court must clarify the matter concretely and unambiguously,” he wrote.” — Judge Jerry Jones
  • “Critics say that the condition is unscientific and rooted in racism.” — Commentators on ‘excited delirium’

What’s Next

Cooper and Cichuniec will be retried on criminally negligent homicide charges. The appellate clarification of the paramedic standard of care may affect future cases involving medical treatment under police restraint. The state will continue to defend the convictions, while Cichuniec’s assault conviction remains pending.