UNITED STATES GOVERNMENT

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: Captain FROM: , Clinical Nurse SUBJECT: Medical Emergency Unit (CA) si p ' r 8- O - 1, a On Saturday, Aug 10, 2019, at approximately 0633 a.m., I responded to a medical emergency 9S, upon arrival Inmate (EPSTEIN, J. Reg #: 76318-054) was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Bruising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses were felt, At this time 0635 a call placed for EMS, CPR Continued, an AED was Placed with No shock advised, CPR was continued. Inmate was transported to HSU treatment room with CPR in progress, where a 18g hep lock to L AC was placed and, O2 15 Lt ViA BVM. Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac Monitor shows asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, and Pulse Check asystole, Inmate was transported to Local ER with CPR in progress at approximately 0710. EFTA00059888 Inmate Name. EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Binh: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: RN Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure TaraeLpsts Scheduled Target Date Priority Translator Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay Required:No TelephoneNerbal Order: No Completed by RN on 08/1012019 08:10 Requested to be cosigned by D. Cosign documentation will be displayed on the following page. Cosign Required: Yes Generated OW I 0/2019 am 0 by MaIN Biteau or Prisons • NYM EFTA00059889 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 08/1W2019 07:25 Provider: Reg It: 76318-054 Facility: NYM RN Unit: 204 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit SUBJECTIVE: Emergency Note Provider: RN Team Members: Provider Bala RN TeamiCode Leader Code Events: Lat CPR EKG/Monitor No shock advised CPR Oxygen IV Access 18 g Left AC Airway ET Tube 7.5 24CM to L Up line Placed by Paramedics Medications Epinephrine lmg IV Epinephrine 3 doses and Sodium bicarb 2 doses administered CPR Compressions Medications Sodium Bicarbonate 1 mEa/kg IV IV Fluids Medications CPR Medications Medications CPR Comments: Normal Saline 0.9% 1000 ml Epinephrine 1mg IV Compressions Sodium Bicarbonate 1 mEa/kg IV Epinephrine 1mg IV Compressions Yktie Date Compressions 08/10/2019 06:35 Lifepak 08/10/2019 06:39 Compressions 08/10/2019 06:40 15 L 08/10/2019 06:47 Peripheral IV 08/10/2019 06:48 Endotracheai Tube 08/10/2019 07:08 08/10/2019 07:10 by paramedics 08/10/2019 07:11 08/10/2019 07:11 08/10/2019 07:12 08/10/2019 07:13 08/10/2019 07:14 08/10/2019 07:14 08/10/2019 07:16 08/10/2019 07:17 Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Brui ng wound the neck and posterior mottling. Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR Conlin , AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in progre , leg hep lock to L AC, 02 15 Lt VIA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656. Placedlon cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, Pulse Check asystole, Inmate was transported to Local ER with CPR In progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Gorterated OWi W2019 08.10 by RN Bureau of Patens • NYM Page 1 of 2 EFTA00059890