Jail record, 2019-08-10

Bureau of Prisons Health Services Clinical Encounter¶

Inmate Name: Date of Birth: Encounter Date: 08/10/2019 07:25	EPSTEIN JEFFREY EDWARD	Sex: Provider:	M	Race: WHITE RN	Reg #: Facility: NYM Unit:	76318-054 Z04
SUBJECTIVE:	Emergency Code - Resuscitation Event encounter performed at Special Housing Unit.
Emergency Note	Provider:	RN
Team Members:
Provider		110.11
RN				Team/Code Leader
Code Events:
Type	Value			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
Medications	ET Tube 7.5 24CM to L Lip line Placed by Paramedics 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:¶

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 Bruising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR Continued, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in progress. 189 hep lock to L AC, O2 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on 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¶

Generated 08/10/2019 08:10 by RN Bureau of Prisons • NYM Page 1 of 2¶

Inmate Name: EPSTEIN JEFFREY EDWARD Date of Birth: Encounter Date: 08/10/2019 07:25	Sex:	M Provider:	Race: WHITE	RN	Reg #: Facility: NYM Unit:	76318-054 Z04
Exam:
ASSESSMENT:
Cardiac Arrest
PLAN:
New Consultation Requests:
Consultation/Procedure	Target Date		Scheduled Target Date	Priority		Translator	Language
Emergency Room	08/10/2019	08/10/2019		Emergent		No

Subtype:¶

AMBULANCE Reason for Request:¶

Cardiac arrest with CPR in progress¶

Copay Required: No Telephone/Verbal Order: No	Cosign Required: Yes
Completed by	RN on 08/10/2019 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 Bureau of Prisons • NYM Page 2 of 2¶