A man was fatally shot by Los Angeles police officers Tuesday after allegedly pulling a gun on paramedics and then firing a round at officers from inside an apartment, police said. Los Angeles Fire Department personnel knocked on the door of the apartment after responding to a report of a “medical emergency” in the 100 block of West 5th Street at about 8:30 a.m. That’s when the man came out armed with a handgun, causing the paramedics to leave the scene and call for police, said Capt. Kelly Muniz, an LAPD spokesman. When officers from the Central Division arrived, the man came out of the apartment a second time and allegedly pointed the gun at the officers, Muniz said. Those officers also retreated and called in the LAPD’s SWAT unit as well as a Systemwide Mental Assessment Response Team, or SMART. Such teams, of which there are 12 in the city, pair LAPD officers with medical clinicians who are specially trained to handle calls involving people suffering from mental illness. Muniz said she did not know the nature of the medical emergency that had initially been reported. The man was not identified as of Tuesday. Officers set up a perimeter around the location and began trying to negotiate with the man to come outside unarmed, to no avail, Muniz said. “They made several attempts to try to make contact with the individual, and he would not correspond with them in any fashion,” she said. The SWAT unit then decided to deploy tear gas into the fifth-floor apartment, Muniz said. After it did so, the man allegedly came to the window and fired a single round out of the apartment toward officers, Muniz said. Police shot back, striking the man, Muniz said. She said she did not know how many officers fired. The man was pronounced dead at the scene, where Muniz said a gun was also recovered. The incident caused closures of East Main Street from 3rd to 6th streets, and of 5th Street from Los Angeles Avenue to Spring Street. The shooting will be investigated and the findings presented to the LAPD’s civilian oversight commission. Such investigations often take up to a year. Available video from the encounter should be released within 45 days, per LAPD policy.