Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: Encounter Date: = =. 07:25 Sex: Provider: Bureau of Prisons Health Services Clinical Encounter M_ Race: _ WHITE RN Reg #: Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: [x RN Team Members: Provider Role FY RN Team/Code Leader Code Events: Type Value CPR Compressions EKG/Monitor Lifepak No shock advised CPR Compressions Oxygen 16L IV Access Peripheral IV 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Lip line Placed by Paramedics Date 08/10/2019 06:35 08/10/2019 06:39 08/10/2019 06:40 08/10/2019 06:47 08/10/2019 06:48 08/10/2019 07:08 08/10/2019 07:10 08/10/2019 07:11 08/10/2019 07:11 08/10/2019 07:12 08/10/2019 07:13 08/10/2019 07:14 08/10/2019 07:14 08/10/2019 07:16 08/10/2019 07:17 Medications Epinephrine 1mg IV Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics CPR Compressions Medications Sodium Bicarbonate 1 mEa/kg IV IV Fluids Normal Saline 0.9% 1000 ml Medications Epinephrine 1mg IV CPR Compressions Medications Sodium Bicarbonate 1 mEa/kg IV Medications Epinephrine 1mg IV CPR Compressions Comments: 76318-054 Facility: NYM Unit: Z04 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 LAC, 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 SE RN CONFIDENTIAL Bureau of Prisons - NYM Page 1 of 2 SDNY_00013094 EFTA00035007

--=PAGE_BREAK=--

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: —— Sex: M___Race:_ WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: Rn Unit: 204 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 fs MD. Cosign documentation will be displayed on the following page. Generated 08/10/2019 08:10 by ES RN Bureau of Prisons - NYM CONFIDENTIAL Page 2 of 2 SDNY_00013095 EFTA00035008