The State of Oklahoma has scheduled plaintiff Corey Duane Hamilton for execution by lethal injection on January 9, 2007. Hamilton’s first-degree murder conviction and death sеntence were affirmed on direct appeal,
Hamilton v. State,
We review the district court’s order for an abuse of discretion.
Bowersox v. Williams,
Hamilton unreasonably delayed in two ways. First, desрite knowing that he faced death by lethal injection and being aware of legal challenges to various lethal-injection protocols, he waited years to pursue any state administrative remedy in this regard.
2
Second, after exhausting that remedy in May 2006, he waited five more months to file this action. This court has taken a strict stance on inmate delay in this context and has, in fact, invoked the presumption recognized in
Nelson
and
Hill
in similar circumstances where only the first type of delay noted here was evident,
see Patton v. Jones,
Turning to the merits, the Constitution does not require the use of execution procedures thаt may be medically optimal in other contexts. Rather, the controlling standard is that such procedures “not involve the unnecessary and wanton infliction of pain.”
Gregg v. Georgia,
The district court concluded that the expert testimony presented simply could not demonstrate a risk of harm of *817 constitutional magnitude; in particular, that testimony did not effectively challenge the protocol elements outlined above. The primary criticism voiced by the experts сoncerned the absence of any provision for monitoring the inmate for signs that the sodium thiopental is in fact reaching him and effecting anesthetization. In light of the рrecautions already built into the protocol, the district court concluded that the risk of failure that this kind of monitoring would address was simply far too remote to rise to a constitutional level so as to require that it be done in connection with executions. Thus, while monitoring of anesthetization level is the optimal practicе appropriate for a surgical operating room (where, significantly, lower doses of anesthetic are used in order to minimize post-surgical “emergenсe” complications that have no counterpart in the execution setting), the risk inherent in the lethal-injection procedure under review is already so attеnuated that we cannot say there is a significant likelihood that a challenge to the protocol under the minimal requirements imposed by the Eighth Amendment on exeсutions could succeed on our record.
The additional evidence adduced by Hamilton at the December 28 hearing does not undermine that conclusion. The fоcus of the new evidence was a recent execution in Florida that, by credible accounts, was botched because the needles used for the TVs had been pushed completely through the inmate’s veins. See generally Fla. Exec. Order No. 06-260 (halting further executions and creating commission to study state lethal-injection protocol following execution of Angel Nieves Diaz on December 13, 2006). The district court properly discounted the present materiality of that unfortunate incident, noting that the Florida protocol made no provision for the qualifications of the person(s) responsible for establishing and confirming the patency of the IV, while the Oklahoma prоtocol places this responsibility in the hands of an EMT-P, a professional expressly recognized as fully qualified for this purpose by the experts in this case. In short, the risk exposed by the Florida tragedy is a risk that Oklahoma, unlike Florida, has specifically addressed in its protocol.
In sum, Hamilton has not overcome the strong presumption applicable here against interference with the State’s recognized interest in timely carrying out the final judgment rendered in his criminal prosecution, nor has he shown a substantial likelihood of prevailing on the merits of his constitutional challenge to the lethal-injection procedure to be followed in his execution. Acсordingly, the district court did not abuse its discretion in denying injunctive relief, and we find no basis for staying Hamilton’s execution.
Hamilton’s request for oral argument is GRANTED, the district court’s order denying Hamilton’s motion for a preliminary injunction is AFFIRMED, and Hamilton’s motion for stay of execution is DENIED. The motion to file certain portions of the record under seal is GRANTED. Hamilton’s motion for leave to proceed in forma pauperis is GRANTED.
Notes
. Pursuant to Fed. R.App. P. 35, the panel circulated this opinion to the active judges of the court for sua sрonte consideration of whether en banc review was necessary. No active judge called for a poll.
. Counsel conceded at argument that there is no legal impediment under state law to pursuit of lethal-injection challenges prior to the setting of an execution date.
See, e.g., Malicoat v. State,
. In the event IV access cannot be established in the veins of the arms, a physician is present who will gain access through a central line, i.e., an artery elsewhere in the body such as the leg.
