U.S. Department of Justice Federal Bureau of Prisons NY, NY 10007 FROM: SUBJECT: 24-hou Inmate Name (LN, FN) Register Number Jeffery Edward | DOD DOB Sex Race Institution/Region | Care Level MH Care Level Preliminary Cause of Death Location of Death (L]) Institution (7) Community Hospital Other: TYPE OF DEATH: N ral Homicid 2. @ DNR ordered Autopsy ordered RIS addressed Anticipated death Please attach PP37 with BOP-HSD/Quality Management~ WL SI tT ( { ( 5 wKK oO Fa) O oO ) ) ) ue on See nNuNwWOn NO NO If no, reason ee no (f¥) N/A a NO this notification and submit to the @bop. gov mailbox within 24 hours of inmate death or next business day if weekends/holiday EFTA00110276

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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. On 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 anterior surface of his neck area. 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 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. EFTA00110277

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24 Hour Death Report Page | of 1 24 Hour Death Notification Recieved f 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: SEEN (20P52781) 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 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 history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4-L5 Stenosis, On July 23, 2019, at 2:00 a.m. he was placed on Suicide Watch for 31 hours and § minutes due to abrasion located on the lower anterior surface “a of his neck area. 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 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 am. 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. co https://map.bop.gov/SASStoredProcess/do? ) program=%2F Projects%2FHSD%2F Web%2... 8/12/2019 EFTA00110278

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From: <NYM/Clinical Director@bop.gov> To: <bop52781@bop.gov> 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 sei i ntral Office including the Medical Director and OQM. Submitted by: [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 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 history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4-L5 Steno sis. On 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 anterior surface of his neck area. 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 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. EFTA00110279