As many as 10 sheriff’s deputies and medical staff at Virginia’s Central State Hospital can be seen piling on top of a shackled Irvo N. Otieno for approximately 11 minutes until he stops moving, according to new video showing the encounter that led to the 28-year-old Black man’s death.

The hospital surveillance video, which has no sound, shows Otieno’s final moments on March 6, from the time Henrico County sheriff’s deputies drag him into a hospital admissions room in handcuffs and leg irons, to the 11 minutes in which they restrain Otieno on the ground, to the moment when they release Otieno’s limp body around 4:40 p.m.