First Responders

New Colorado Law Forbids Police From Requesting EMS Use of Ketamine, Other ‘Chemical Restraints’

July 10, 2021Joshua Skovlund
Ketamine Colorado law

A new Colorado law prohibits police from influencing EMS on decisions to use or not use ketamine. Screenshot courtesy of Aurora Police Department body-worn camera footage. Ketamine vial image courtesy of Wikimedia Commons. Composite by Joshua Skovlund/Coffee or Die Magazine.

Colorado Gov. Jared Polis signed a law Tuesday that prevents police from influencing the decisions of EMS medics to administer sedatives — particularly ketamine — to patients whom police are arresting.

Ketamine is a powerful but largely safe and short-lasting sedative that, in appropriate doses, leaves a patient almost instantly unconscious on a level similar to that used in surgery. Also known as ketalar, the medication is used by EMS crews for sedation and airway management when a patient is “put under” so that medics can insert breathing tubes in their mouth and throat. The medication can also be administered by crews when patients are in severe pain as they are transported to the hospital.

But “chemical restraint,” the practice of giving ketamine to combative patients, is controversial, particularly in Colorado, where 23-year-old Elijah McClain died while medicated with ketamine. A City of Aurora, Colorado, report found that McClain died Aug. 24, 2019, when EMS personnel injected him with ketamine.

Elijah McClain, 23, died in August 2019 when medics injected him with ketamine at the request of police. McClain, who was not armed and had not committed any crime, had been walking home from a convenience store. Photo courtesy of the McClain family.

The City of Aurora report concluded that EMS personnel administered ketamine to McClain based purely on limited information from police at the scene and that they did not make the decision based on a medical assessment. 

McClain had been wrestling with police prior to being given ketamine. He went into cardiac arrest during transport to the hospital and was later resuscitated but found to be brain dead.

HB 21-1251, or “Appropriate Use of Chemical Restraints on a Person,” sets the ground rules for EMS on when and why they may administer ketamine. It also forbids police from requesting or otherwise influencing the medics’ decision to use or not use the drug.

“EMS is responsible for patient care, not law enforcement,” Polis said. “Furthermore, ketamine should not be used for law enforcement purposes. EMS should make medical care decisions, and law enforcement police should not try to influence an EMS’s medical decision-making.”

Below, police body-camera video shows officers during the arrest and chemical restraint of Elijah McClain. McClain went into cardiac arrest and died after being given ketamine at the request of police.

Ketamine is no stranger to controversy in the EMS community. The drug has a long history of use as a date rape” drug. Though the drug has many routes into illegal street use, EMS medics have faced charges in the past for theft or sale of the drug.

The specific use of “chemical restraint” previously came under fire in Minneapolis when police were said to be ordering EMS personnel to administer the drug during arrests. Several local medical directors took issue with the accusations in an opinion piece for the Star Tribune

Under the new law, if an officer does attempt to influence medics’ decisions on ketamine use, EMS is required to make a confidential report to the Colorado Peace Officer Standards and Training Board. Once a violation is reported, the board is required to execute an investigation into the claims, and if they are verified, the officer will be subject to termination and the inability to work as an officer in the state of Colorado. 

EMS personnel are now required to undergo further training on the administration of ketamine. HB 21-1251 also mandates that EMS must weigh a person to get an accurate body-weight measurement for calculating ketamine doses, and if that isn’t possible, “2 personnel trained in weight assessment” must concur on an educated estimate of body weight prior to the administration of ketamine. 

Training on airway management and the equipment to monitor and intervene in respiratory emergencies are now mandated for all Colorado EMS personnel as well.

Read Next: Bloody Day for Law Enforcement in Midwest With 4 Officers Shot, 1 Dead

Joshua Skovlund
Joshua Skovlund

Joshua Skovlund is a former staff writer for Coffee or Die. He has covered the 75th anniversary of D-Day in France, multinational military exercises in Germany, and civil unrest during the 2020 riots in Minneapolis. Born and raised in small-town South Dakota, he grew up playing football and soccer before serving as a forward observer in the US Army. After leaving the service, he worked as a personal trainer while earning his paramedic license. After five years as in paramedicine, he transitioned to a career in multimedia journalism. Joshua is married with two children. His creative outlets include Skovlund Photography and Concentrated Emotion.

More from Coffee or Die Magazine
eric smith marine corps commandant nominee
Highly Decorated Marine Officer Nominated To Be Next Commandant

President Joe Biden has nominated a highly decorated Marine officer who has been involved in the transformation of the force to be the next Marine Corps commandant.

USS Arizona
Profile of a Ship: USS Arizona

When the USS Arizona sank, it took 1,177 crew members with it. Today it remains beneath the water as a memorial to all those who lost their lives at Pearl Harbor.

b1 bombers bosnia
US Bombers Fly Over Bosnia in Sign of Support Amid Continued Secessionist Threats

A pair of U.S. Air Force B-1B Lancer bombers flew low over Sarajevo and several other Bosnian cities...

SR-71 Blackbird
SR-71 Blackbird: The Spy Plane That Could Outrun Missiles

Lockheed Martin’s SR-71 Blackbird was a government secret for years. Now retired, a newer version plans to take its place.

medal of honor recipient remains returned
Missing 73 Years, Medal of Honor Recipient's Remains Return To Georgia

Soldiers of the 9th Infantry Regiment made a desperate retreat as North Korean troops closed in arou...

dear jack
Dear Jack: My Battalion Is Out of Control

In this installment of “Dear Jack,” Marine veteran and amateur life coach Jack Mandaville advises a lieutenant colonel on how to restore order in the lower ranks.

Medal of Honor
Medal of Honor: A Long and Epic History

For more than 150 years, the Medal of Honor has been used to recognize acts of extraordinary battlefield courage performed in service to the United States.

  • About Us
  • Privacy Policy
  • Careers
Contact Us
  • Request a Correction
  • Write for Us
  • General Inquiries
© 2023 Coffee or Die Magazine. All Rights Reserved