re: Derek Chauvin trial - GUILTY ON ALL CHARGES. Update: His sentencing is today

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If he's found home alone with drugs in his system and no other signs that point to a cause of death yes, you probably rule it an OD.

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Are you certified by any of the 50 United States to practice medicine?

Yes or no?

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but with the context those were pretty clear to be backseat to the homicide.

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Which is why all 3 examiners decided it was a homicide via asphyxiation.

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Following a press conference on June 1 about the second autopsy, Baden admitted that portions of Floyd's organs were indeed missing, and that he didn't have access to the results from toxicology testing. Soon after, the Hennepin County Medical Examiner issued a press release, and subsequent to that, the full autopsy report, which indicated that the cause of death was "cardiopulmonary arrest complicating law enforcement subdual, restraint, and neck compression," and that the manner of death was homicide. They listed arteriosclerotic and hypertensive heart disease, fentanyl intoxication, and recent methamphetamine use as other significant conditions contributing to death.
This means that Floyd stopped breathing and his heart stopped beating (cardiopulmonary arrest) because of the injury caused by his restraint in the custody of law enforcement officers, to include asphyxia from neck compression. Asphyxia means that there is a lack of oxygen going to the brain. It can happen from obstruction of the airway, restriction of breathing from compression of the neck or chest, or the prevention of blood flow to the brain by collapsing the blood vessels in the neck. It can also happen from the replacement of oxygen in the blood by carbon monoxide, or depletion of oxygen in the atmosphere, like in a fire. "Cardiopulmonary arrest" is not a heart attack. Online sources that imply that the medical examiner is covering up George Floyd's death by calling it a "heart attack" are wrong.

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A short bystander video from another perspective shows three police officers kneeling on Floyd while another stands at his head. They appear to be exerting pressure on his neck, torso, left (still handcuffed) arm, and legs. Pressure on the torso can limit chest rise, and added pressure on other parts of the body can decrease cardiac return (the volume of blood coming back from the limbs).
Looking at a longer, unedited bystander video posted on Facebook, the first thing I notice is that Floyd's voice sounds gravelly, and he repeatedly says, "I can't breathe." EMS and police are sometimes trained that anyone who says "I can't breathe" is lying -- because if you can speak, you can breathe. This is not true, and there are many reasons why people might say "I can't breathe" and still be in medical distress. These reasons include increasing fatigue of respiratory muscles; blockage of pulmonary blood flow; incomplete airway obstruction; and acidosis, a buildup of acid in the blood which triggers an increased breathing rate and causes the sensation of shortness of breath.

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Which is why all 3 examiners decided it was a homicide via asphyxiation.

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Or....

You're lying you're arse off and hope people don't realize the technical definition of homicide.

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FINAL DIAGNOSES:
46-year-old man who became unresponsive while being restrained by law
enforcement officers; he received emergency medical care in the field
and subsequently in the Hennepin HealthCare (HHC) Emergency
Department, but could not be resuscitated.
I. Blunt force injuries
A. Cutaneous blunt force injuries of the forehead, face, and
upper lip
B. Mucosal injuries of the lips
C. Cutaneous blunt force injuries of the shoulders, hands,
elbows, and legs
D. Patterned contusions (in some areas abraded) of the wrists,
consistent with restraints (handcuffs)
II. Natural diseases
A. Arteriosclerotic heart disease, multifocal, severe
B. Hypertensive heart disease
1. Cardiomegaly (540 g) with mild biventricular
dilatation
2. Clinical history of hypertension
C. Left pelvic tumor (incidental, see microscopic description)
George Floyd
20-3700
Page 2
III. No life-threatening injuries identified
A. No facial, oral mucosal, or conjunctival petechiae
B. No injuries of anterior muscles of neck or laryngeal
structures
C. No scalp soft tissue, skull, or brain injuries
D. No chest wall soft tissue injuries, rib fractures (other
than a single rib fracture from CPR), vertebral column
injuries, or visceral injuries
E. Incision and subcutaneous dissection of posterior and
lateral neck, shoulders, back, flanks, and buttocks
negative for occult trauma
IV. Viral testing (Minnesota Department of Health, postmortem nasal
swab collected 5/26/2020): positive for 2019-nCoV RNA by PCR
(see ‘Comments,’ below)
V. Hemoglobin S quantitation (postmortem femoral blood, HHC
Laboratory): 38% (see ‘Comments,’ below)
VI. Toxicology (see attached report for full details; testing
performed on antemortem blood specimens collected 5/25/20 at
9:00 p.m. at HHC and on postmortem urine)
A. Blood drug and novel psychoactive substances screens:
1. Fentanyl 11 ng/mL
2. Norfentanyl 5.6 ng/mL
3. 4-ANPP 0.65 ng/mL
4. Methamphetamine 19 ng/mL
5. 11-Hydroxy Delta-9 THC 1.2 ng/mL;
Delta-9 Carboxy THC 42 ng/mL; Delta-9 THC 2.9 ng/mL
6. Cotinine positive
7. Caffeine positive
B. Blood volatiles: negative for ethanol, methanol,
isopropanol, or acetone
C. Urine drug screen: presumptive positive for cannabinoids,
amphetamines, and fentanyl/metabolite
D. Urine drug screen confirmation: morphine (free) 86 ng/mL

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