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Step 1 in any emergency is secure the scene first, even with more "medically informed" training an irritable crowd with an insufficient number of officers and a very large suspect is going to mean that options are excruciatingly limited. I'm not sure there really is anything different to do with more medical training anyway. There isn't any secret sauce for managing overdose or agitated patients. Additionally "I can't breath" or "that hurts" "you're hurting me" is not useful information from a restrained perp or patient, since the fact that they aren't going to be a useful source of information is intimately related to why you are doing it. Excessive struggle (secondary to discomfort) or no struggle at all (secondary to the position being...unhealthy) are not useful pieces of information since most patients will either go crazy or try and wait and save energy.
Obviously their are minor things you can do to make things safer but its never "safe" it's all risk mitigation, and elsewhere in this thread someone noted that this whole thing could easily be Chauvin getting abandoned for following standard operation procedure, or a small miscalculus based on how long it was supposed to take backup.
Now you may say "doc you paint a pretty stark picture, where the fuck are the rest of the people in the medical community agreeing with you?" I have no idea. It was a huge black pill for me. We know this.
I agree that, speaking fully generally, it's very difficult to detain a suspect who is high on drugs in a way that is completely benign when considering all the unknowns in securing a scene and maintaining officer and public safety. This is not a fully general scenario, though, but one with a very specific fact pattern:
Under this specific fact pattern, where officers were well in control and could spare time to contemplate the well-being of the suspect, the refusal to try changing restraint position seems incompetent or negligent. This wasn't some split-second decision made under gun fire, it was simply a bad call by the senior officer, and it led to an unnecessary death.
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