Doctor testifies ICE agents counted bullet holes in Alex Pretti’s body instead of providing aid

Physician affidavit says ICE agents didn’t check Pretti’s pulse or give CPR, delayed medical aid and instead appeared to count his bullet wounds
PUBLISHED JAN 26, 2026
The testimony formed part of a civil rights lawsuit against DHS over the fatal shooting of Alex Pretti in Minneapolis (Screengrab/@vagov/X, Getty Images)
The testimony formed part of a civil rights lawsuit against DHS over the fatal shooting of Alex Pretti in Minneapolis (Screengrab/@vagov/X, Getty Images)

MINNEAPOLIS, MINNESOTA: Court filings tied to the fatal shooting of Alex Jeffrey Pretti have revealed troubling testimony from a physician who witnessed the incident and described a failure by federal agents to provide emergency medical care.

In a sworn affidavit submitted as part of a civil rights lawsuit, the doctor said ICE agents did not check Pretti’s pulse or attempt CPR after he was shot multiple times in Minneapolis on January 24. Instead, the physician stated the agents appeared to focus on counting bullet wounds as Pretti lay unresponsive.

MINNEAPOLIS, MINNESOTA - JANUARY 24: People gather at the intersection of 26th Street and Nicollet Avenue after a fatal shooting by federal agents on January 24, 2026 in Minneapolis, Minnesota. Federal agents allegedly shot and killed 37-year-old Alex Pretti, a south Minneapolis resident, amid a scuffle to arrest him. The Trump administration has sent a reported 3,000 federal agents into the area, with more on the way, as they make a push to arrest undocumented immigrants in the region. (Photo by Stephen Maturen/Getty Images)
People gathered at the intersection of 26th Street and Nicollet Avenue after a fatal shooting by federal agents on January 24, 2026, in Minneapolis, Minnesota (Stephen Maturen/Getty Images) 

Physician recounts moments after ICE shooting of Alex Pretti

The affidavit was filed in support of a lawsuit brought by the ACLU against the Department of Homeland Security and senior federal officials. The pediatrician, whose name was redacted in court documents, said they were inside their apartment when they heard a commotion outside involving Pretti and ICE agents

According to the physician, Pretti was yelling during the encounter but did not physically attack the agents or threaten them with a weapon. The affidavit states that an ICE agent suddenly shoved Pretti to the ground.

Although the doctor’s view was partially blocked, they reported seeing at least four ICE agents draw their firearms and shoot Pretti “at least six or seven times.” After the gunfire stopped, the physician ran outside in an attempt to render aid but was initially prevented from reaching Pretti by federal agents at the scene.

MINNEAPOLIS, MINNESOTA - JANUARY 24: Federal agents block off the scene of a shooting as crowds gather on January 24, 2026 in Minneapolis, Minnesota. Agents allegedly shot a protestor amid a scuffle to arrest him. The Trump administration has sent a reported 3,000 federal agents into the area, with more on the way, as they make a push to arrest undocumented immigrants in the region. (Photo by Stephen Maturen/Getty Images)
Federal agents blocked off the scene as crowds gathered following the shooting on January 24, 2026, in Minneapolis, Minnesota (Stephen Maturen/Getty Images)

Doctor says agents failed to provide lifesaving care

The physician testified that none of the agents appeared to be checking for a pulse or administering CPR, which they described as basic and expected care for a shooting victim. Instead, the agents “appeared to be counting his bullet wounds,” according to the affidavit.

When the doctor asked whether Pretti had a pulse, the agents allegedly responded that they did not know because they had not checked. The physician then observed multiple gunshot wounds, including at least three in Pretti's back, one in his upper chest, and another possible wound near his neck.

After determining there was no pulse, the doctor began chest compressions and continued until emergency medical services arrived. The affidavit states that by the time paramedics reached the scene, Pretti had already died from his injuries.

MINNEAPOLIS, MINNESOTA - JANUARY 24: Federal agents block off the scene of a shooting as crowds gather on January 24, 2026 in Minneapolis, Minnesota. Agents allegedly shot a protestor amid a scuffle to arrest him. The Trump administration has sent a reported 3,000 federal agents into the area, with more on the way, as they make a push to arrest undocumented immigrants in the region. (Photo by Stephen Maturen/Getty Images)
Federal agents secured the area after a fatal shooting involving ICE on January 24, 2026, in Minneapolis, Minnesota  (Stephen Maturen/Getty Imags)

Lawsuit challenges DHS narrative of Minneapolis shooting 

The affidavit also described the aftermath of the shooting as tense and chaotic. The physician said the situation escalated quickly, prompting them to retreat to their apartment. They later fled the building after ICE agents tear gas into the surrounding crowd, with gas reportedly entering residential units.

The doctor wrote that the incident left them feeling unsafe in their own city. Their testimony is part of a civil rights complaint filed against DHS, its secretary Kristi Noem, ICE Acting Director Todd Lyons, and other officials.

Federal authorities have defended the agents’ actions, with DHS and Border Patrol officials claiming Pretti intended to cause mass harm to law enforcement. Border Patrol Commander Gregory Bovino acknowledged during a press conference that the investigation remained ongoing but did not confirm whether Pretti had pointed a weapon at agents.

Border Patrol Commander Gregory Bovino speaks during a press conference at the Bishop Henry Whipple Federal on January 22, 2026 in Minneapolis, Minnesota. Bovino, joined by ICE Executive Associate Director of Enforcement and Removal Operations Marcos Charles, addressed ongoing immigration enforcement operations in the state. The Trump administration has sent a reported 3,000 federal plus federal agents into the area, with more on the way, as they make a push to arrest undocumented immigrants in the region. (Photo by Stephen Maturen/Getty Images)
Border Patrol Commander Gregory Bovino spoke during a press conference in Minneapolis, Minnesota, in January 2026 (Stephen Maturen/Getty Images)

Minneapolis Police Chief Brian O’Hara later confirmed that Pretti was a lawful gun owner. The physician concluded their affidavit by expressing fear that federal enforcement actions had grown increasingly dangerous, stating they worried that bystanders or protesters could be fatally harmed simply for voicing opposition or observing ICE operations.

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