UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: Ma, Captain az ------ FROM: Ja, 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. EFFA_00001273 EFTA00134538 Inmate Name. EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: t E Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: MIMMIIWN Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Targetlue 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 MD. Cosign documentation will be displayed on the following page. Cosign Required: Yes Generated 08/10/2019 08:10 by RN Streau of Prisons • NYM Lawman Page 2 of 2 EFFA_00001274 EFTA00134539 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 0120/1953 Sex: TE Encounter Date: 08/102019 07:25 Provider. RN Reg #: 76318-054 Facility: NYM Unit: 204 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: RN Team Members: Provider Bola RN Code Events: Iyat Maio CPR Compressions EKG/Monitor Lifepak No shock advised CPR Compressions Oxygen 15 L IV Access Peripheral IV 189 Left AC Airway Endotracheal Tube Date 08110/2019 08/10/2019 08/10/2019 08/10/2019 08/10/2019 08/10/2019 C6:35 06:39 06:40 06:47 06:48 07:08 ET Tube 7.5 24CM to L Up line Placed by Paramedics Medications Epinephrine 1mg 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: Team/Code Leader Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received on thb floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential Brui ng around 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 18g hep lock to L AC, 02 15 Lt VIA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed Ion 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 Garnett(' 0811W2019 08.10 by RN Bureau of Patens • NYM Page 1 of 2 EFTA_00001275 EFTA00134540