UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: aptain FROM: J , Clinical Nurse SUBJECT: Medical Emergency Unit (CA) 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. EFTA00075366 Inmate Name. EPSTEIN, JEFFREY EDWARD Reg ft, 76318-054 Date of Binh: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Tartlet Data 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 TelephoneNerba I Order: Completed b Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. No Cosign Required: Yes 019 08:10 Generated 08n 012019 08:10 by Colombo. Joseph RN IN:eau of Prisons • NYM Lammas Page 2 Of 2 EFTA00075367 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg It 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 08/1W2019 07:25 Provider. a==MRN Unit: 204 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit SUBJECTIVE: Emergency Note Provider: Team Members: Sabi RN Team/Code Leader Code Events: Yalu Date CPR Compressions 08/10/2019 C6:35 EKG/Monitor Lifepak 08/10/2019 06:39 No shock advised CPR Compressions 08/10/2019 06:40 Oxygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheai Tube 08/10/2019 07:08 ET Tube 7.5 24CM to L Up line Placed by Paramedics Medications Epinephrine lmg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics CPR Compressions 08/10/2019 07:11 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:11 IV Fluids Normal Saline 0.9% 1000 ml 08/10/2019 07:12 Medications Epinephrine 1mg IV 08/10/2019 07:13 CPR Compressions 08/10/2019 07:14 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:14 Medications Epinephrine 1mg IV 08/10/2019 07:16 CPR Compressions 08/10/2019 07:17 Comments: Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received on 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. Placedion 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 Gorecated 08P 0/2010 08.10 b RN Bureau of Patens • NYM Page 1 of 2 EFTA00075368