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Nichols -- who was in custody but was allowed to change from jail scrubs into street clothes, a normal occurrence when defendants face jurors -- apparently struggled with the deputy for the gun and overpowered her, police said.
Sources told CNN the initial overpowering occurred in an elevator.
There were conflicting reports over whether the deputy whose gun was taken was shot. Dreher said she was not, but Jeffrey Salamone, attending trauma surgeon at Grady Memorial Hospital, said she had a gunshot wound to the head.
Doctors at Grady Memorial Hospital said the deputy had a wound on her head consistent with a graze wound from a gunshot, but the bullet did not penetrate her head.
Salamone said she suffered a small bruise on her brain and some fractures around her face. She was in critical condition, but was expected to survive.
Once inside Barnes' courtroom, Nichols held people in the room at bay briefly before shooting Barnes and his court reporter -- both of whom died at the scene, police said.
Nichols then fled the building, where outside he shot a deputy in the abdomen, officials said. The deputy was pronounced dead at the hospital, Salamone said.
Authorities said Nichols tried to hijack at least three vehicles, ending up in a multilevel parking structure for Atlanta's Underground tourist area.
A witness told CNN Nichols took his tow truck at gunpoint outside the courthouse.
The gunman "told me to get out of the truck. I told him he can have the truck. And I walked away," Deronte Franklin said.
A few blocks away, a reporter for The Atlanta Journal-Constitution was beaten and his Honda Accord stolen from a parking garage. Don O'Briant said a man pulled up in an SUV and asked for directions before he pulled a gun, told O'Briant to give up his car keys and get in the trunk of the car.
"I turned to run, and that's when he hit me in the head with his gun," O'Briant said.
Signs over Atlanta highways said police were looking for a green Honda Accord with a Georgia license plate 6584YN.
Atlanta police said they have set up a tip line at 404-730-7983 and 404-730-7984.
Law enforcement officials are offering rewards totaling $60,000 in the case.
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