Minnesota hospital nurses dispute ICE claim that man shattered his skull by running into a wall

Intensive care nurses had immediate doubts about claims made by federal immigration officers when they arrived at a Minneapolis hospital with a Mexican immigrant who had broken bones in his face and skull.
Immigration and Customs Enforcement (ICE) agents initially stated Alberto Castañeda Mondragón had tried to flee while handcuffed and “purposefully ran headfirst into a brick wall,” according to court documents filed by a lawyer seeking his release.
But staff members at Hennepin County Medical Center determined that could not possibly account for the fractures and bleeding throughout the 31-year-old’s brain, according to three nurses familiar with the case.
“It was laughable, if there was something to laugh about,” said one of the nurses, who spoke to The Associated Press on the condition of anonymity because they were not authorized to discuss patient care. “There was no way this person ran headfirst into a wall.”
The explanation from ICE is an example of recent run-ins between immigration officers and health care workers that have contributed to mounting friction at Minneapolis hospitals. Workers at the Hennepin County facility say ICE officers have restrained patients in defiance of hospital rules and stayed at their sides for days. The agents have also lingered around the campus and pressed people for proof of citizenship.
Since the start of Operation Metro Surge, President Donald Trump’s immigration crackdown in Minnesota, ICE officers have become such a fixture at the hospital that administrators issued new protocols for how employees should engage with them. Some employees complain that they have been intimidated to the point that they avoid crossing paths with agents while at work and use encrypted communications to guard against any electronic eavesdropping.
Similar operations have been carried out by federal agents in Los Angeles, Chicago and other cities, where opponents have criticized what they say are overly aggressive tactics. It’s not clear how many people have required hospital care while in detention.
The AP interviewed a doctor and five nurses who work at HCMC, who spoke on condition of anonymity to talk about Castañeda Mondragón’s case. AP also consulted with an outside physician, and they all affirmed that his injuries were inconsistent with an accidental fall or running into a wall.
ICE’s account of how he was hurt evolved during the time that federal officers were at his bedside. At least one ICE officer told caregivers that Castañeda Mondragón “got his (expletive) rocked” after his Jan. 8 arrest near a St. Paul shopping center, the court filings and a hospital staff member said. His arrest happened a day after the first of two fatal shootings in Minneapolis by immigration officers.
The situation reached a head when ICE insisted on using handcuffs to shackle his ankles to the bed, prompting a heated encounter with hospital staff, according to the court records and the hospital employees familiar with the incident.
At the time, Castañeda Mondragón was so disoriented he did not know what year it was and could not recall how he was injured, one of the nurses said. ICE officers believed he was attempting to escape after he got up and took a few steps.
“We were basically trying to explain to ICE that this is how someone with a traumatic brain injury is — they’re impulsive,” the nurse said. “We didn’t think he was making a run for the door.”
Security responded to the scene, followed by the hospital’s CEO and attorney, who huddled in a doctor’s office to discuss options for dealing with ICE, the nurse said.
“We eventually agreed with ICE that we would have a nursing assistant sit with the patient to prevent him from leaving,” the nurse said. “They agreed a little while later to take the shackles off.”
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