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Page 1186 DNR order __Yes ———___ _¥_No Date Advance Directive / Living Will ___ Yes = _Y¥_No ate REVIEW OF EMERGENCY MEDICAL CARE: Was death related to a medical emergency _¥_Yes ____No Response to medical emergency notification timely _v¥_Yes —__No __NA Physician _v¥_Yes ___No NA Physician Assistant ——No _¥_NA Nurse Practitioner ___No _v_NA Nurse(s) _v_Yes ——No ——NA Emergency Medical Techs ___Yes —_No _¥_NA Others ___Yes —__-Yes CPR _v_Yes __No —_NA ACLS List protocol (s) used (if appropriate) _¥_Yes ____No ——NA By EMS. Problems encountered during medical emergency, e.g., __Yes _¥_No ——NA equipment, communications, transportation. Describe briefly: Providers responding maintain current certification / credentials in _v_Yes ——No ——NA BCLS, ACLS (if required) SUMMARY REVIEW: 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 H ype rtriglyceridemia treated with Vascepa, no past Mental Health History prior to 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}®.(7/E) ‘D\\E) 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 5 PDF Prescribed by P6013 DOJ-OGR- 00025391