Page 3229 _ U.S. Department of Justice Federal Bureau of Prisons MCC New York 150 Park Row NY, NY 10007 2019 2019 [Inmate Name (LN, FN) Epstein, Jeffery Edward ~ Register Number 76310-U9 DOD | [DOB | Sex —— am | Race Institution/Region : k | | Care Level |Care Level-1 | } | —“Carel-MH MH Care Level Carel-MH Preliminary Cause of Death [Alleged Suicide Location of Death } (LJ) Institution ([¥]) Community Li) other: : - | TYPE OF DEATH: _ Homicide DNR ordered Autopsy ordered RIS addressed Anticipated death 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 EFTA00094117

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Page 3230 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. Qn ‘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 GRESPTSPUSUPEACSISEMHUSIHECKMATeaW) 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 co 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 Centex 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. EFTA00094118

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Page 3231 24 Hour Death Report Page | of | 24 Hour Death Notification Recieved peath Notification for Epstein (#76318-054) @ NYM successfully received on 2019-08-12 @ 14:30:08 (Eastern) Notification sent to Region and Central Office including the Medical Director and OQM. Submitted by: Terrance Thomas [BOP52781] You may save and/or print this page for your local records. Local Date And Time of Pronounced Legal Death: 08/10/2019 07:36 Location: Community Hospital Type: Suicide Autopsy Status: Autopsy Ordered RIS: na Anticiapted Death: no DNR/LSO: no Preliminary Cause of Death-Alleged Suicide Narrative: Inmate Jeffery Edward Espstien #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a nit i idemi. i i i incarceration and L4-L5 Stenosis, ‘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 am. 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. “a https://map.bop.gow/SASStoredProcess/do?_program=%2F Projects%2F HSD%2F Web%2. .. 8/12/2019 EFTA00094119

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Page 3232 c From: To: Date: 8/12/2019 2:30 PM Subject: 24 Hour Death Notification Death Notification for Epstein (#76318-054) @ NYM successfully received on 2019-08-12 @ 14:30:08 (Eastern) Notification sent to Region and Central Office including the Medical Director and OQM. Submitted by: Terrance Thomas [BOP52781] Local Date And Time of Pronounced Legal Death: 08/10/2019 07:36 Location: Community Hospital Type: Suicide Autopsy Status: Autopsy Ordered RIS: na Anticipated Death: no DNRILSO: no Preliminary Cause of Death: Alleged Suicide Narrative: Inmate Jeffery Edward Espstien #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 Menta! Heal i rior to incarceration and L4-L5 Steno On ly 25 201, 200 am, he was placed on Sukie On July — Z was ang My eee 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 L ower Manhattan Hospital. At 7:36 a.m. the inmate was pronounced dead by the ER Physician. Use this link: https://sallyport.bop.gov/co/hsd/quality_management/SAS/admin_dashboard.jsp to view the Death Report Dashboard. It will allow you to review user submitted death report data along with automatically merged SENTRY information. It may take up to several hours for newly submitted death data to appear on the dashboard. EFTA00094120