Our consulting Forensic Pathologist, Stephen Cina MD, was interviewed for this article.

WORCESTER —  Reversing an earlier determination, police say the man who died in a melee at City Hall Wednesday suffered a fatal gunshot wound. In the hours after the man's death, police said the man appeared to have suffered from a pre-existing medical condition.

Javier A. Santiago “died as the result of a single gunshot wound to the upper torso,” police said in a brief statement yesterday afternoon.

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This reminds me of a case in Pueblo, CO (January 2007) used in my book, "Practical Methods for Legal Investigations", in which a person exited the interstate and then shot herself in the head with a small caliber pistol, which was ejected from her rolled vehicle.  This appeared to be an accident, but was easily determined at autopsy to be a suicide.