Epstein Files

EFTA00120010.pdf

dataset_9 pdf 2.0 MB Feb 3, 2026 24 pages
Form 583 Report of Incident Incident 8: NYM-19- Submitted By: DateITIme Of Incident: 8/10/2019 6:33 AM 0082 Section 1: General Information Staff Aware Date: 8/10/2019 6:33 AM FBI Notified: Yes USMS Notified: Yes Indicate Whore Incident Occurred: Main Facility Location Level 1: SHU Level 2: Housing Unit, Special (SHU) Level 3: 9 SOUTH SHU VAL3fIrteldoift:L_ Institution Locked Down: Yes O Assault On Inmate Modified Operations: No O Assault On Staff Cause Of Incident Known? No O Assault, Attempted On Inmate Catise Of Incident O Assault, Attempted On Staff ❑ Alcohol O Disruptive Behavior O Commissary O Escape From Non-secure Facility O Debts O Escape From Secure Facility O Disrespect Issue El Escape, Attempted From Non-secure Facility ❑ Drugs O Escape, Attempted From Secure Facility O Ethnic Conflict • Food Issue O Fight El Inmate Death ❑ Geographical Conflict O Interfering with Staff duties O Institution Disturbance El Property Issue O Introduction Of Contraband O Racial Conflict O Lethal Weapons Discharge O Recreation Equipment O Self Mutilation ❑ Religious Issue O Setting A Fire O Security Threat Group Conflict O Sexual Act. Non-consensual On Inmate O Sexual Pressure ❑ Sexual Assault On Staff El Sporting Events O Sexual Contact, Abusive On Inmate O Telephone heft OT O Sexual Harassment, Repetitive ❑ Visiting O Staff Homicide ❑ Strike, Food ci Work Issue ❑ Strike, Work a Suicide Attempt Method: Hanging/Asphyxiation O Use Of Force O Use Of Force/Applications Of Restraints O Use of Restraints, Pregnant/Postpartum Section 2: Inmates Involved UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE roper This document is malted Undassfied/Limited Official Use Onty/Law Enforcement Sensitive and may be disseminated. with attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment the pot may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general to know? It contains Information that may be exempt from public release under the provisiogs of the pubic or those without a 'need Privacy Act (5 U.S.C. 862). 1 of 3 1 EFTA00120010 Form 583 Report of Incident Incident NYM-19- Submitted Byllin Daterflme Of Incident 8/10/2019 6:33 AM 0082 Reg if: 76318054 Name: EPSTEIN, JEFFREY Role: Not Known Medical Attention Required: Outside Injury Category: Fatal Injury Weapon (per Inmate): No Uso of Force (per Inmate): No Chemical Used (per Inmate): No CIMS: No STG: Yes Restraints (per Inmate): Escort Only Death (per inmate): No Section 3 Others Involved Name: Person Typo: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Min Person Typo: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Typo: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: MEM Person Typo: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Noel, Tova Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE proper This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with thereof. may Enkvcement, DOD, or U.S. Intelligence Agencies. This document or any segmonVattac hment attribution, to active Law entity, the general not be released without the approval of the Bureau of Prisons to any media sources, any nomlaw enforcement under the provisior s of the public or those without a 'need to know: it contains information that may be exempt from public release Privacy Act (5 U.S.C. 552). 2 of 3 EFTA00120011 Form 583 Report of Incident Incident NYM-19- Submitted By: IMIIIII Date/Time Of Incident: 8/10/2019 8:33 0082 Name: Thomas, Michael Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault No Section 4: Lethal Weapon Discharge No data found. Section 5: Use of Force No data found. Section 6: Description of Incident the chemical DESCRIPTION OF INCIDENT (If Use Of Force, Include details such as name of supervisor applying restraints instead of soft restraints, etc.) Please be clear about agent andlor restraints, masons for use of hard cause(*) of the Incident in your description. Reg. No. On August 10, 2019, at approximately 6:33 a.m., while serving the breakfast meal inmate Epstein, Jeffrey, Staff called for assistance and began life saving measures. He was 76318-054 was found unresponsive in his cell. to Health Services at approximatel y 6:39 a.m., and EMS arrived at 6:43 a.m. He was transported to the local escorted hospital at approximately 7:10 a.m. Inmate Epstein was pronounced deceased at 7:36 am. Section 7: Attachments Iii DatiAAPTofritier-:,', }F.C.2177F:War:Wilha—FEillejed-Bi. ' " PrIikal Nym t! cab 8102019 Operation Memorandumpti TF18990 NYM 8/10/2019 Unit Roster.pdf TF18990 Staff Roster.pdf TF18990 NYM 8/10/2019 Medical Assessment pdf TF18990 NYM 8/10/2019 Staff Memorandum pdf TF18990 NYM 8/10/2019 Approved By: SUBMITTED UNCLASSIFIEDIUMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE with proper This document Is marked Undassifieditimited Official Use Only/Law Enforcement Sensitive and may be disseminated, hment thereof, may attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attac entity, the ge Feral not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement under the provisions of the public or those without a 'need to know.' It contains Infonhatlion that may be exempt from public release Privacy Ad (5 U.S.C. 652). 3 of 3 EFTA00120012 EFTA00120013 U.S. Department of Justice Federal Bureau of Prisons Memorandum Federal Correctional Institution DATE: August 10, 2019 TO: REPLY TO ATTN OF: Lieutenant SUBJECT: Inmate Epstein, Jeffrey (#76318-054) to serve inmate Epstein, Jeffrey, R•g. No. On August 10, 2019, at approximately 6:33 a.m., while attempting his cell. Staff called for assistance and • gait life 76318-054, the breakfast meal, he was found unresponsive in 6:39 a.m., and EMS arrived at 43 a.m. saving measures. He was escorted to Health Services at approxintately the neck. He was transported to the local Institution medical staff stated he had circumficial bruising around sed at 7:36 am. hospital at approximately 7:10 a.m. Inmate Epstein was pronounced decea EFTA00120014 UNITED STATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS or Metropolitan Correctional Cont _- August 10, 2019 RNED MEMORANDUM FOR ALL CONCE FROM: , LieutenantO) ister # 76318-054 Suicide SUBJECT: Inmate Epstein, J Reg by the roximately 6:43 AM, I was instructed On Saturday August 10, 2019 at app Inm ate Eps tein, J ery NY Downtown hospital. Operations Lieutenant to report to the the ide. The inmate was transported to Register #76318-054 had attempted suic inf rmed pita l via NYF D EM S and BOP Sta ff. Upon my arrival to the hospital, I was hos c ortin g staf f and Hos pita l staf f that inmate Epstein had expired due to c rdla by the esc es rting at 7:36AM. At this time I instructed the arrest. The time of death was reported I dire ct>r my media in regards to the situation. staff not to speak to anyone and or the ic direct their questions to the MCC NY Pub staff to tell anyone making inquiries, to th A/M Institution and assumed my duties as Relations Officer. I returned back to the Activities lieutenant c. ASensitive Limited 0 dal Use Only= EFTA00120015 UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: NM A : Operations Lieutc -0--- FROM: a Corrections ys e s leer SUBJECT: Epstein, Jeffrey Edward # 76318-054 Body Alarm/ Medical Emergency in Special Housing Unit (SHU) On August 10, 2019 at 6:33am while on duty as the morning watch control center officer, Special Housing Unit (SHU) Officer; radioed for medical assistance in SHU and activated the body alarm. I notified staff that a body alarm and medical emergency was called in SHU. Staff responded, than I received a call from staff in SHU telling me to call 911 for an ambulance. I notified the Ncw York Police Department via the institutional NYPD telephone. I then informed NYPD that we need and ambulance and medical assistance for one of our inmates. Staff then continued to respond getting a stretcher and a defibrillator, escorting the inmate down to medical. The New York City Fire Department and Emergency Medical Services (EMS) arrived at 6:43am to the institution and were escorted to the 2nd floor medical area. EMS departed the institution with inmate Epstein and BOP escort via ambulance and chase car to local hospital at 7:10am. CSO / EFTA00120016 UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: 64.1 FROM: SUBJECT: MEDICAL EMERGENCY ON 9 South On August 10, 2019 at approximately 6:43 am while assigned to Morning W ch as observ-' staff Internal Security Officer, I responded to a body alarm on 9 South. Upon my arrival, I carrying inmate Epstein, Jeffrey #76318-054 on a medical stretcher. At that time, as the Internal S • urity Officer, 1 escorted staff and inmate Epstein to medical on 2 Sally. As per Operations Lieutenant I was instructed to escort EMT from the rear gate to medical on 2 Sally. When EMT was ready for d re, I escort them back to the Rear Gate. As per Operations, I was assigned as Escort Officer to cond this t emergency trip to the outside local hospital. At a roximately 7:15am, we arrived at Ne York Presbyterian — Lower Manhattan Hospital located at When we entered the emergency room medical personnel intervene . e maintained direct supervision of the inmate as we waited for further guidance from medical personnel at the hospital. We were notifi that the inmate would be transported to the morgue so we escorted the staff to the morgue. While in the morgue, we still maintained direct supervision of the inmate until approximately 12:57pm. At thi time, the inmate was no longer under our direct supervision as medical staff took over. Operations Lie tenant was notified and we were instructed to report back to the institution — we arrived at 1:03pm. EFTA00120017 A TE S G O VERNMENT UNITED ST M U MEMORAND rk, New York Cen ter, New Yo Correctional Metropolitan August I wit, 2019 DATE: TO: Offic er J Correctional FROM: stitution ee NY Response to In sponded to M SUBJECT: r .. ., re gI at el y 8 :4 5 am I, Offic e sp it al d et ai l. Upon arrivin xim gency h o ere inmate , 2019 at appro nant for emer cy room wh On August I0 ti o n s L ie u te in em er g en g the t of the Opera spital room A 9 for watchin at the reques y te ri an h o as re sp o n si b le ortly ew York Presb e located. I w al officer. Sh was detail to N re m ai n s w h er thcr co rr ec ti o n e timeline y # 76318-054 along with ano d of detail. Th Epstein, Jeffre her instruction was given o k co m m an rt ived and to remains until fu on Duty Officer (WO) arr ituti ximate) thereafter Inst o w ed (t imes are appro for detail is a s fo ll orgue to b e m o v ed to hospital m spital staff ng unit ai n s w as p re pared by ho sp ital m o rg u e area cooli O 1030 Rem ho direction of ID ff es co rt remains to ai l a t Examiner 1045 Hospit al st a se cu re b y o ff icers o n d et O ff ice o f C ity Medical ensured as Director Wig gins of orgue 1050 Area is n ic at es w it h h e tr a n sp o rt ed to city m mmu remains to 1135 IDO co a rd s to receiving e) (OCM E ) in re g 0 g in s o f O C M E (left messag tified by 1 0 irector Wig 1137 A/W no unicate with D s (OCME) a tt e m p ts to co m m n fr om D irector Wiggin 1138 !DO es return com municatio 0 re ce iv AM on remains 113 9 1 0 m u nication from ar d s to instruction t 1204 IDO re ce iv es co m ic at io n fr o m A/W in re g a n d co o rd in ate movemen ort n s of OCME ceives commu irector Wiggin an hospital an d transp I208 MO re at es w it h D P re sb y te ri mmunic New York 1210 /DO co O C M E depart from fr o m 1257 Staff morgue locati on to ci ty New York re m ai n s l st a ff a rr iv e back at MCC al detai 1303 Hospit tion Officer Federal Correc e stic US Dept of Ju u re a u of Prisons Federal B rk MCC-NewYo EFTA00120018 EFTA00120019 U.S. DEPARTMENT OF JUSTICE Federal Bureau of Prisons Office Memorandum DATE: August 0, 2019 FROM: Electronics Technician SUBJECT: Medical Emergency Inmate Epstein, Registration #:76318-054 TO: Operations Lieutenant On Saturday, August 10 2019 at approximately 0635 a.m., I responded to a medical emergency 9 South upon arrival Inmate (Epstein, J Registration # 76138-054) cell unresponsive with CPR in progress by Correctional Lieutenant 1 assisted transporting (Epstein, J Registration # 76138-054) to Health Services Arca. c: file EFTA00120020 q EFTA00120021 UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: Ma, Captain m FROM: , 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. EFTA00120022 UNITED STATES GOVERNMENT Memorandum FEDERAL BUREAU OF PRISONS Metropolitan Correctional Center August 10. 2019 MEMORANDUM FOR ALL CONCERNED sty FROM: Lieutenante) Suicide SUBJECT: Inmate Epstein, J Register # 76318-054 I was instructed by the On Saturday August 10, 2019 at approximately 6:43 AM, ital. Inmate Epstein, Jeffry Operations Lieutenant to report to the NY Downtown hosp e was transported to the Register #76318-054 had attempted suicide. The inmat the hospital, I was informed hospital via NYFD EMS and BOP Staff. Upon my arrival to in had expired due to cardiac by the escorting staff and Hospital staff that inmate Epste time I instructed the escorting arrest. The time of death was reported at 7:36AM. At this the situation. I directed my staff not to speak to anyone and or the media in regards to the MCC NY Public staff to tell anyone making Inquiries, to direct their questions to ed my duties as the A/M Relations Officer. I returned back to the Institution and assum Activities lieutenant. AS'ensitive Limited Official Use OttivLr EFTA00120023 EFTA00120024 U.S. Department of Justice Federal Bureau of Prisons Psychological Services NI CA Correctional Center Wax) To : Operations Li From: Psychologist Date: 8/10/19 RE: INMATE JEFFREY EDWARD EPSTEIN #76318-054 This writer responded $o On 8/10/19, there was a Body Alarm on 9 South at about 6:35 AM. in's cell givin medical 9 South. Medical and other staff were already in inmate Epste we writer and attention to inmate Epstein. Staff asked for a stretcher and this broug ht to retrieve a stretcher. then asked for another AED. brought it up to 9 South . the stretcher to 9 South. This writer retrieved another AED and in was being broug ht down on a stretcher When this writer arrived at 9 South, inmate Epste Medical. EFTA00120025 1.‘ • .J. Esc:• EFTA00120026 EFTA00120027 UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 0 2019 TO: Lieu . :RCM: , Senior Officer SUBJECT: Respond to 9.South Medical Emergency. On August 10, 2019 Saturday morning approximately at 6:33am a 9South medical emergency call was announced over the BA radio. I senior officer specialis sponded to 9South (Special Housing Uni)t (Epstein, L-tier cell #220, upon arrival I witnessed medical staff pe ornung CPR on a unresponsive inmate from Jeffrey Edward d 76318-054). Myself and additional staff transported inmate Epstein on a medic stretcher until unit to the 2" floor Health Service Area as medical staff continuously perform CPR on inmate Epstein room to the rear relieved by E.M.S staff who continue administering CM while escorting Epstein from the medical government gate area then placing him in to the EMT ambulance with Bop staff escort as I followed in a secure vehicle to the Downtown Beckman hospital where I stayed on post until 1 was relieved. NYMFC 530.07 • ROSTER • PAGE 002 08-10-2019 00:51:43 GRP. SPECIFIC.. REG LN PR 201A 201-105LAD 85978-054 QTR WRK CUS ALMANZAR NELSON Z01-105LAD OWASSO 203A 203-113LAD 86123:054 IN ARROYO ANGEL 203-11JLAD UNASSG 204A 204-206LAD 86710-054 IN AVILA PATRICK 204-206LAD UNASSG 206A Z06-217LAD 76157-054 IN BARROW LORENZO 206-217LAD OWASSO 205A 205-120LAD 86463-054 IN BENJAMIN LUIDJI 205-120LAD UNASSG ZOLA 201-101LAD 79407-054 IN BLADES CHRISTAN 201-101LAD UNASSG 203A 203-109UAD 76269-054 IN BRISSETT JAMAL 203-109UAD SUICIDE OR IN 204A 204-209UAD 86460-054 UNASSG BROCK MARK 204-209UAD UNASSG 206A 206-219LAD 70786-050 IN BROWN CHAD 206-2191.AD FS PM 204A 204-211LAD 86630-054 IN BUTLER TUREAN 204-211LAD UNASSG Z05A 205-123UAD 86164-054 IN CAVE ETHAN 205-123UAD UNASSG 206A 206-213UAD 89520-053 IN CONTRERAS JHONNY 206-213UAD UNASSG 20SA 205-122LAD 92299-054 IN COOPER MATTHEW 205-122LAD ELECTRIC 201A 201-1060AD 89380-053 IN DAVIS HOWARD 201-106UAD UNASSG 203A 203-113LAD 86132-054 IN DELEON OMAR 203-113LAD UNASSG 206A 206-219UAD 55381-066 IN DESILVA MICHAEL 206-2190AD UNASSG 205A 205-1210AD 77930-054 IN DIAZ ROBERT 205-121UAD UNASSG Z05A 205-123LAD 60685-050 IN DOCKERY MARTIN 205-123LAD FS PM 201A Z01-103LAD 86214-054 IN DOMES MANOLO 201-103LAD UNASSG 201A 201-1040AD 86124-054 IN DURANT LAVELL 201-104UAD ONASSO 2035/1 205-124LAD 72418-019 IN EKE IFEANYI 205-124LAD UNASSG 204A 204-206LAD 76318-054 IN EPSTEIN JEFFREY 204-206LAD UNASSG 201A 201-106LAD 86102-054 IN ESTEVEZ STEVEN Z01-106LAD UNASSG 204A 204-2060AD 79793-054 IN FERRER GREGORY 204-206UAD FS AM 205A 205-122LAD 86368-054 IN FUENTES MIGUEL 205-122LAD UNASSG 203A 203-110UAD 75885-054 IN GALAN CARLOS 203-110UAD UNASSG 205A 205-118LAD 86290-054 IN GARCIA JACINTO ZOS-118LAD UNASSG 206A 206-2180AD 79043-054 IN GARCIA-PEN PEDRO 206-218UAD UNASSG 203A 203-1130AD 86825-054 IN GONZALEZ DANIEL 203-113UAD UNASSG 203A 203-116UAD 86617-054 IN GONZALEZ MARCOS 203-116UAD UNASSG 205A 205-120UAD 23152-014 IN GOULDBOURN MARK 205-120UAD FS PM IN 205A 205-117UAD 70887-054 -UNASSG GRAYSON MARK 205-117UAD UNASSG 20SA 205-1210AD 08820-070 IN GUILLEN GABRIEL 205-1210AD UNASSG 206A 206-214LAD 79455-054 IN HILL JAQUEZ 206-214LAD UNASSG 202A 202-201LAD 87049-054 IN HOSSAIN DELOWAR. 202-201LAD UNASSG 204A 204-207LAD 68152-054 IN HOYT KENNETH Z04-207LAD UNASSG 206A 206-217UAD 79466-054 IN JIMENEZ EDWARD 206-217UAD UNASSG 201A 201-108LAD 68302-054 IN JONES RAYSHAUN 201-108LAD UNASSG 201A 201-106LAD 86931-054 IN RABA KINTEA MCKENZIE 203-113LAD UNASSG 205A 205-122LDS 86357-054 IN LANS LEROY 205-122LDS UNASSG 206A 206-220LAD 79427-054 IN LATIMER COREY 206-220LAD UNASSG Z04A 204-211LAD 86356-054 IN IOVICK FUGUAN 204-211LAD UNASSG IN G0002 MORE PAGES TO FOLLOW . • EFTA00120028 Reg #: 76318-054 Inmate Name. EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: t E Facility: NYM Provider: MIMMIIWN Unit: Z04 Encounter Date: 08/10/2019 07:25 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Thast_pnin Scheduled Target Date Priority Translator Consultation/Procedure 08/10/2019 08/10/2019 Emergent No Emergency Room Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay Required:No Cosign Required: Yes 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. Generated 08/10/2019 08:10 by RN otreau of Prisons • NYM EFTA00120029 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 9: 76318-054 Sex: TE Facility: NYM Date of Birth: 01/20/1953 RN Unit: 204 Encounter Date: 08/1W2019 07:25 Provider: Emergency Code - Resuscitation Event encounter performed at Special Housing Unit SUBJECTIVE: Emergency Note Provider: RN Team Members: Provider Sala RN Team/Code Leader Code Events: Yalu Date CPR Compressions 08/10/2019 06:35 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 Endotracheal 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: on floor of his Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received ial Brui ng wound the cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferent for EMS, CPR Conlin , AED neck and posterior mottling. Pupils Fixed and dilated, No Palpable pulses, Call place HSU treatment room with CPR in progre , leg hep lock Placed No shock advised, CPR Continued, inmate transported to advised. EMS and Paramedics arrived 0656. Placedlon cardiac to L AC, 02 15 Lt VIA BVM, Pulse Check NO SHOCK Check monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, Pulse asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious RN Bureau of Patens • NYM Page 1 of 2 Gorterated OWi W2019 08 10 by EFTA00120030 Satunitay August 10, 2019 Page 2 ""Special Assignments"" PHONE RN "8 <unassigned> "10 <unassigned> STAFF SEARCH LOBBY tf2 8 or DRY CELL OT ESCORT St "f1 OT s ESCORT #2 CST 8 OT 30 EMERGENCY : : 10111.1 Os SIS LT C 00 —1211114111s CT 16:00 22:00 ESCORT :3

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Feb 3, 2026