# Bureau of Prisons
Health Services
Clinical Encounter

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 08/10/2019 07:25

Sex:
Provider:

M Race: WHITE
RN

Reg #: 76318-054
Facility: NYM
Unit: Z04

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

SUBJECTIVE:

Emergency Note Provider:

RN

Team Members:

Provider

RN

Role
Team/Code Leader

Code Events:

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

<table><tr><th>Туре</th><th>Value</th><th>Date</th></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 06:35</td></tr><tr><td>EKG/Monitor</td><td>Lifepak</td><td>08/10/2019 06:39</td></tr><tr><td>No shock advised</td><td></td><td></td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 06:40</td></tr><tr><td>Oxygen</td><td>15 L</td><td>08/10/2019 06:47</td></tr><tr><td>IV Access</td><td>Peripheral IV</td><td>08/10/2019 06:48</td></tr><tr><td>18 g Left AC</td><td></td><td></td></tr><tr><td>Airway</td><td>Endotracheal Tube</td><td>08/10/2019 07:08</td></tr><tr><td colspan="3">ET Tube 7.5 24CM to L Lip line Placed by Paramedics</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/2019 07:10</td></tr><tr><td>Epinephrine 3</td><td colspan="2">doses and Sodium bicarb 2 doses administered by paramedics</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:11</td></tr><tr><td>Medications</td><td>Sodium Bicarbonate 1 mEa/kg IV</td><td>08/10/2019 07:11</td></tr><tr><td>IV Fluids</td><td>Normal Saline 0.9% 1000 ml</td><td>08/10/2019 07:12</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/2019 07:13</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:14</td></tr><tr><td>Medications</td><td>Sodium Bicarbonate 1 mEa/kg IV</td><td>08/10/2019 07:14</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/2019 07:16</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:17</td></tr></table>

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## 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, 02 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

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EFTA00036627

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 08/10/2019 07:25

Sex: M Race: WHITE
Provider: RN

Reg #: 76318-054
Facility: NYM
Unit: Z04

Exam:

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## ASSESSMENT:

Cardiac Arrest

PLAN:

New Consultation Requests:

Consultation/Procedure
Emergency Room
Subtype:
AMBULANCE
Reason for Request:
Cardiac arrest with CPR in progress

- Target Date Scheduled Target Date Priority
08/10/2019 08/10/2019 Emergent

Translator Language
No

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.

Generated 08/10/2019 08:10 by

RN

Bureau of Prisons - NYM

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EFTA00036628