Attorney Damario Solomon-Simmons, left, comforts Tiffany Crutcher, whose twin brother, Terence Crutcher, was shot and killed by Tulsa police on Sept. 16. At right is the Rev. Joey Crutcher, their father. (Mike Simons/Tulsa World via AP)

The frantic voice of Tulsa police officer Betty Shelby can be heard bursting into the video: “Shots fired!”

Just a moment earlier, Terence Crutcher, 40, had been hit in the chest with a bullet from Shelby’s service weapon. Now, he lay on the asphalt next to his vehicle, blood spreading across his chest.

Videos released this week of the shooting, which occurred last Friday, next show officers milling about, as the wounded man lies unaided on the ground. Shelby is led away from Crutcher by two of her fellow officers. Two other officers can be seen appearing to check his vehicle for any other people or weapons.

About two minutes later, an officer appears to handcuff and search Crutcher. Another 30 seconds later, that officer appears to begin rendering medical aid. Later that night, Crutcher was pronounced dead at a nearby hospital.

The Tulsa Police Department is not only being criticized for the shooting of an unarmed man, but also for how long it took to provide him with first-responder care after he was shot. (Gillian Brockell/The Washington Post)

The length of time between Crutcher’s body hitting the ground and the first officers attempting to provide him any medical care has enraged many as video of the encounter has spread throughout the nation in recent days, raising again a question posed following a number of high-profile police shootings: Why didn’t the officers more quickly render medical attention?

Crutcher, who was 40, was “left in the street to die,” said an attorney for his family. Ryan Kiesel, executive director of the American Civil Liberties Union of Oklahoma, said that by “shirking their legal and moral obligation to render aid as he lay dying in the street,” it was clear that the officers involved “could not care less about whether the black citizens they are sworn to protect live or die.”

“If you see someone as human, as someone who is susceptible to pain, if you view their humanity the same as yours, you’re going to try to find a way to help,” said Rashad Robinson, the executive director of the civil rights group Color of Change. “You’re going to try to get them medical attention.”

The lack of medical attention to those shot by police has been a central grievance in protests over police shootings of black people over the last two years. But, policing experts note, while best practices dictate that aid should be provided as soon as officers no longer feel they are facing a threat of violence, officers’ judgment of when that is the case — especially in the moments after a violent incident — are likely to differ from that of the public.

“People have a belief, and it’s a justifiable belief, that the officers should go from a tactical situation to a medical situation very quickly,” said Jim Bueermann, a retired police chief and president of the Police Foundation, a national police research organization.

In New York, officers listened to Eric Garner declare “I can’t breathe” 11 times before he died on a Staten Island sidewalk. In Cleveland, residents were outraged that video showed that more than four minutes elapsed before anyone attempted to aid 12-year-old Tamir Rice after he was shot by an officer. And in Falcon Heights, Minn., earlier this year, Philando Castile could be seen in the live video broadcast by his girlfriend writhing in pain as he bled out after being shot by an officer. The video shows Officer Jeronimo Yanez, seemingly in shock after having just shot Castile, providing no medical response.

Bueermann said that in the moments after a shooting, officers need to quickly cycle through several priorities — they must make sure the threat has ceased, secure any weapons or vehicles at the scene, check on the condition of fellow officers and search the person who has been shot — all before providing medical aid.

Still, he said that in most cases those priorities can be safely exhausted in a matter of seconds.

“I’m not sure that this is completely anchored in the culture of policing yet, but once a shooting occurs and the officers are safe they should be administering emergency first aid as fast as they can,” Bueermann said.

“When they don’t do this, or when officers leave a wounded or dead person uncovered on the ground, as they did in Ferguson, it inflames people,” he said. “People go: This shooting may have been justified, but that person is no longer a threat so they should be helping him.”

Expectations of how much medical care will provided by officers after a shooting vary from department to department, and often fall short of what some in the public might expect. For example, after the video of the police shooting of Laquan McDonald was released last year, officials with both the Chicago Police Department and the officers’ union said that if an officer had radioed for a medical transport or called 911 after a shooting, he or she had fulfilled their duty.

“Our officers are trained to dial or to call paramedics,” police union president Dean Angelo told Fox32 in Chicago. “They’re not trained in first aid, they’re not there to supply CPR or to stop the flow of blood.”

Department officials said this week that they have a voluntary program that provides officers with first aid training, but officers have to purchase first aid gear themselves.

“We are currently working with the Chicago Police Foundation to raise private funds so that we can equip every police officer in the city,” said Anthony Guglielmi, a spokesman for the Chicago Police Department, who added that Chicago Fire Department is co-dispatched along with police officers to calls that include injuries to provide on-the-scene aid.

Following Tamir Rice’s shooting, officials in Cleveland provided additional first aid training to 1,400 of the department’s officers and implemented a policy that requires officers to immediately call for Emergency Medical Services and to in some cases provide trauma care to a wounded person. The department also spent $100,000 to outfit its cruisers with trauma kits, according to a release issued last year.

“Our officers are certified in first aid in an effort to enhance our response to critical incidents,” Sgt. Jennifer Ciaccia, a spokeswoman for the Cleveland Division of Police, said in an email.

In New York, police officials began training all of their officers in advanced first aid earlier this year — prompted, at least in part, by the testimony of former NYPD officer Peter Liang, who told a jury that he did not provide medical aid to Akai Gurley, an unarmed black man he accidentally shot, because he did not know CPR, a claim department leaders have disputed.

“To not have your officers fully trained in first aid would be criminal, metaphorically speaking. And the same goes for not having taught them that they need to render aid,” said David Klinger, a former police officer and professor at the University of Missouri-St. Louis. “It’s literally part of the police mandate — to protect life, even if it’s the life of someone who you might have shot.”

Medical training for officers varies in the nation’s police departments, as does much of police training.

In Oklahoma, officers are required to undergo 583 hours of training before they can become certified by the state, said Chuck Gerhart, assistant director of the state’s Council on Law Enforcement Education and Training. Of those training hours, eight of them are for first aid and CPR. How quickly an officer should provide medical aid after a shooting is not dictated by the state.

Officers in Oklahoma City, for example, are subject to a written policy that states officers are responsible for rendering aid and/or summoning medical attention in addition to securing the scene and identifying witnesses and evidence.

“Our officers receive training as first responders because that’s what we are and that’s what we do,” said Lt. Juan A. Balderrama of the Oklahoma City Police Department.

In Tulsa, however, where Crutcher was killed, the department has no official policy regarding officers’ responsibility on tending to those shot or wounded. Officers do undergo about 16 hours of medical training, including instruction on stopping arterial bleeds, clearing blocked airways and treating penetrating chest injuries.

And, in many cases, there is only so much triage an officer can provide to someone who has been shot, medical experts say.

“The closer you get to a wound that is center mass, it eventually becomes essentially impossible for a police officer or a paramedic to effectively treat that wound,” said Alex Eastman, deputy medical director of the Dallas Police Department, where all officers receive medical training. “At some point there is nothing to do but get the person the fastest transportation to a trauma center that you can find.”

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