San Elizario, Texas, on March 20, 2026, at approximately 4:59 p.m., El Paso County Sheriff’s Office deputies responded to multiple calls about a disturbance in the 12000 block of Campo Bello Drive. Residents reported a man acting erratically, yelling, screaming, climbing into yards, attempting to enter properties, running at full speed and jumping fences while removing clothing. Deputies located 46-year-old Roel Contreras in an open field. He continued acting erratically, rolling on the ground and yelling. As deputies approached for a welfare check. Deputies restrained him with handcuffs and ankle restraints. No weapons, including Tasers or batons, were used. No criminal charges were determined at the time of detention. Shortly after, Contreras lost consciousness. Deputies began CPR. Emergency medical services continued life-saving measures and transported him to Del Sol Medical Center, where he was pronounced deceased at 6:21 p.m. The El Paso County Medical Examiner’s Office determined the cause of death as acute methamphetamine toxicity, with atherosclerotic cardiovascular disease as a contributing factor. The manner of death was ruled accidental. The El Paso County Sheriff’s Office Major Crimes Unit, Texas Rangers and Internal Affairs Division conducted investigations. Internal Affairs found no policy violations. The Texas Rangers presented findings to the El Paso County District Attorney’s Office. No charges related to the death were announced. Three deputies were placed on administrative leave pending the reviews. Criminal history: On February 23, 2026, Horizon City Police arrested Contreras and Nancy Altamirano, 43, in the 17000 block of Darrington Road after a domestic disturbance call. Contreras identified himself as a caretaker. Officers observed glass pipes with methamphetamine residue