U.S. Department of Justice
Federal Bureau of Prisons

NY, NY 10007

August 12, 2019

MEMORANDUM FOR

M. D., MEDICAL DIRECTOR

FROM:

MCC New York

SUBJECT: 24-hour death report

<table border="1"><tr><td>Inmate Name(LN,FN)</td><td>Epstein,Jeffery Edward</td></tr><tr><td>Register Number</td><td>76318-054</td></tr><tr><td>DOD</td><td>August 10,2019</td></tr><tr><td>DOB</td><td>January 01,1953</td></tr><tr><td>Sex</td><td>Male</td></tr><tr><td>Race</td><td>White Male</td></tr><tr><td>Institution/Region</td><td>MCC New York-Northeast Region</td></tr><tr><td>Care Level</td><td>Care Level-1</td></tr><tr><td>MH Care Level</td><td>Carel-MH</td></tr><tr><td>Preliminary Cause of Death</td><td>Alleged Suicide</td></tr><tr><td>Location of Death</td><td>(☐) Institution(✓) Community Hospital(☐) Other:</td></tr></table>

TYPE OF DEATH:



Natural





Suicide





Accidental





□ Homicide



Legal Execution



Unknown



<table border="1"><tr><td>(□) YES</td><td>(√) NO</td></tr><tr><td>(√) YES</td><td>(□) NO</td><td>If no, reason___</td></tr><tr><td>(□) YES</td><td>(□) NO</td><td>(√) N/A</td></tr><tr><td>(□) YES</td><td>(√) NO</td></tr></table>

Please attach PP37 with this notification and submit to the BOP-HSD/Quality Management~@bop.gov mailbox within 24 hours of inmate death or next business day if weekends/holiday

EFTA00110280

CLINICAL SYNOPSIS OF EVENTS LEADING TO DEATH: (Please provide sufficient information including a short summary of past medical history, length of hospitalization or emergency room care, and staff response to this event).

Inmate Jeffery Edward Epstein #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4-L5 Stenosis. On July 23, 2019, at 2:00 a.m. he was placed on Suicide Watch for 31 hours and 5 minutes due to abrasion located on the lower anterior surface of his neck area. On July 24, 2019 he was taken off Suicide Watch and was placed on Psychological Observation. On July 30, 2019, he was removed from Psychological Observation and was placed in the Special Housing Unit where he was housed with a cell mate. On August 8, 2019, he was seen by Psychology Services and denied suicidal ideation, intention or plan.

On August 10, 2019, at 6:33 a.m. Special Housing Unit Staff found inmate Epstein unresponsive in his cell and attempted to wake him. The body alarm was activated in SHU and the Control Center announced a medical emergency. CPR was initiated by Special Housing Unit Staff. At 6:35 a.m. medical staff responded and continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the inmate was prepared for transport to local hospital while continuing CPR. At 7:10 a.m. the EMS departed institution en route to New York Presbyterian Lower Manhattan Hospital. At 7:36 a.m. the inmate was pronounced dead by the ER Physician.