A Colorado paramedic was sentenced Friday to five years in prison in a rare prosecution of medical responders following the death of Elijah McClain, a Black man whose name became part of the rallying cries for social justice that swept the U.S. in 2020.

McClain was walking down the street in a Denver suburb in 2019 when police responding to a suspicious person report forcibly restrained him and put him in a neck hold. His final words — “I can’t breathe” — foreshadowed those of George Floyd a year later in Minneapolis.

Peter Cichuniec and a fellow paramedic were convicted in December of criminally negligent homicide for injecting McClain with ketamine, a powerful sedative ultimately blamed for killing the 23-year-old massage therapist. Cichuniec also was convicted on a more serious charge of second-degree assault for giving a drug without consent or a legitimate medical purpose.

McClain’s death and others have raised questions about the use of ketamine to subdue struggling suspects, and the prosecution sent shock waves through the ranks of paramedics across the U.S.

McClain’s mother, Sheneen, raised her fist in the air as she left the courtroom following Friday’s sentencing, as she has done after previous hearings.

In testimony before the sentence was handed down by Judge Mark Warner, Sheneen McClain said she once dreamed of being a firefighter and considered them heroes “until the day they took my son’s life.”

“You are a local hero no more,” she said as Cichuniec sat with his attorneys at a nearby table. “Next time, think for yourself and do not follow the direction of a crowd of cowards.”

She added that the other paramedics could have intervened “simply by just saying, ‘Stop hurting my patient.'”