On August 1, 2014, city medical examiners concluded that Garner was killed by neck compression from the chokehold along with “the compression of his chest and prone positioning during physical restraint by police”. Contributing factors included bronchial asthma, heart disease, obesity, and hypertensive cardiovascular disease. Friends of Garner described him as having severe health issues, including diabetes, sleep apnea and severe asthma. As a result of Garner's death, four EMTs and paramedics who responded to Garner's death were suspended without pay on July 21, 2014, and officers Damico and Pantaleo were placed on desk duty; Pantaleo was also stripped of his service gun and badge.