The medical examiner who performed the autopsy on George Floyd after his deadly arrest explained how he concluded the death was a homicide at the hands of police in testimony on Friday at former Minneapolis policeman Derek Chauvin’s murder trial.
Andrew Baker, the chief medical examiner for Minnesota's Hennepin County, told the jury that Mr Floyd's cause of death was "restraint and neck compression" while being subdued by police.
Mr Chauvin is facing murder and manslaughter charges for his role in Mr Floyd's 25 May, 2020 death, which occurred during his arrest for allegedly passing a fake $20 bill.
The 45-year-old Mr Chauvin, who is white, was seen in a video taken by a bystander kneeling on Mr Floyd's neck for more than nine minutes as the handcuffed 46-year-old black man complained repeatedly that he "can't breathe."
The video touched off protests against racial injustice and police brutality in the United States and around the world.
The cause of Mr Floyd's death is a central element in Mr Chauvin's high-profile trial being held in a heavily guarded Minneapolis courtroom.
Prosecutors are seeking to prove Mr Floyd's death was due to asphyxiation and have called several medical experts in recent days to bolster their case.
Mr Chauvin's defense claims Mr Floyd's death was due to his consumption of the illegal drugs fentanyl and methamphetamine and underlying health conditions.
Dr Baker, who conducted the autopsy on Mr Floyd and signed his death certificate, was questioned about his findings by prosecutor Jerry Blackwell and Mr Chauvin's attorney, Eric Nelson.
Dr Baker said he had intentionally chosen not to watch any videos of Mr Floyd's death before conducting the autopsy so as not to "bias" the examination.
On the death certificate, Dr Baker cited "cardiopulmonary arrest complicating law enforcement subdual, restraint, and neck compression" as the cause of Mr Floyd's death.
"Mr Floyd's use of fentanyl did not cause the subdual or neck restraint," Dr Baker said. "His heart disease did not cause the subdual or the neck restraint."
"They are not direct causes, they are contributing causes," he said.
Derek Chauvin faces murder and manslaughter charges for his role in the death of George Floyd. Source: AAP
'Heart to beat faster'
Dr Baker said Mr Floyd had a slightly enlarged heart and a narrowing of his coronary arteries.
He noted that Mr Floyd, before being handcuffed and placed facedown on the ground, had scuffled with the officers arresting him.
"Those events are going to cause stress hormones to pour out into your body, specifically things like adrenaline," he said.
"And what that adrenaline is going to do is it's going to ask your heart to beat faster.
"It's going to ask your body for more oxygen so that you can get through that altercation," he said. "And in my opinion, the law enforcement subdual, restraint and the neck compression was just more than Mr Floyd could take by virtue of those heart conditions."
Also testifying for the prosecution on Friday was Lindsey Thomas, a veteran forensic pathologist.
She said she believed the "primary mechanism" of Mr Floyd's death was "asphyxia or low oxygen" caused by compression of his chest by the policemen on his neck and back.
"This is not a sudden cardiac death," she said.Several police officers have testified that excessive force was used on Mr Floyd and Minneapolis police chief Medaria Arradondo said Mr Chauvin had violated the department's training policies and its "values."
Bridgett Floyd, the sister of George Floyd, is flanked by Reverend Al Sharpton and her brother Philonise. Source: AAP
Police officers are rarely convicted in the United States when facing criminal charges and a conviction on any of the counts against Mr Chauvin will require the jury to return a unanimous verdict.
Mr Chauvin faces up to 40 years in prison if convicted of the most serious charge of second-degree murder.
A 19-year veteran of the Minneapolis Police Department, Mr Chauvin was fired from the force after Mr Floyd's death.
Three other former police officers involved in the arrest are to be tried separately later this year.
Mr Floyd's sister, Bridgett Floyd, said in an interview with The Shade Room published on Friday that the family expects to "get justice."
"I know that God is not going to let justice fail us," she said. "I know we're going to get a guilty verdict because God has the last say-so."