EFTA00075366.pdf

UNITED STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: August 10, 2019 TO: aptain FROM: J , 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. EFTA00075366 Inmate Name. EPSTEIN, JEFFREY EDWARD Reg ft, 76318-054 Sex: M Race: WHITE Facility: NYM Date of Binh: 01/20/1953 Z04 Provider: Unit: Encounter Date: 08/10/2019 07:25 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Tartlet Data Scheduled Target Date Priority Translator Lammas 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 TelephoneNerbaI Order: No Completed b 019 08:10 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 08n 012019 08:10 by Colombo. Joseph RN IN:eau of Prisons • NYM Page 2 Of 2 EFTA00075367  Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg It 76318-054 Sex: M Race: WHITE Facility: NYM Date of Birth: 01/20/1953 Provider. a==MRN Unit: 204 Encounter Date: 08/1W2019 07:25 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit SUBJECTIVE: Emergency Note Provider: Team Members: Sabi RN Team/Code Leader Code Events: Yalu Date CPR Compressions 08/10/2019 C6:35 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 Endotracheai 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. Placedion 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 Gorecated 08P 0/2010 08.10 b EFTA00075368