BOP clinical encounter record of Jeffrey Epstein's resuscitation, Aug. 10, 2019

EFTA00132697¶

Bureau of Prisons Health Services Clinical Encounter¶

Inmate Name: EPSTEIN, JEFFREY EDWARD	Sex: M	Race: WHITE	Reg #: 76318-054
Date of Birth: 01/20/1953	Provider:	RN	Facility: NYM
Encounter Date: 08/10/2019 07:25			Unit: Z04

Emergency Code - Resuscitation Event encounter performed at Special Housing Unit.¶

SUBJECTIVE:¶

Emergency Note Provider: RN¶

Team Members:¶

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
ET Tube 7.5 24CM to L Lip 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:¶

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, 18g 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¶

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RN¶

Bureau of Prisons - NYM¶

EFTA00132698¶

Inmate Name: EPSTEIN, JEFFREY EDWARD	Sex: M	Race: WHITE	Reg #: 76318-054
Date of Birth: 01/20/1953	Provider:	RN	Facility: NYM
Encounter Date: 08/10/2019 07:25			Unit: 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 Cosign Required: Yes¶

Telephone/Verbal Order: No¶

Completed by RN on 08/10/2019 08:10¶

Requested to be cosigned by MD.¶

Cosign documentation will be displayed on the following page.¶

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