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
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Entities
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Document Metadata
- Document ID
- 1127032c-be3f-4001-9aac-5a3cde88ebc2
- Storage Key
- dataset_9/EFTA00120010.pdf
- Content Hash
- 7c492ad3a19e64729e14ad586c70728c
- Created
- Feb 3, 2026