mirror-epstein-docs/results/IMAGES009/DOJ-OGR-00025391.json

{
  "document_metadata": {
    "page_number": "1186",
    "document_number": null,
    "date": null,
    "document_type": "Medical Review Form",
    "has_handwriting": false,
    "has_stamps": false
  },
  "full_text": "Page 1186\nDNR order ___Yes ___No Date _______\nAdvance Directive / Living Will ___Yes ___No Date _______\nREVIEW OF EMERGENCY MEDICAL CARE:\nWas death related to a medical emergency ___Yes ___No\nResponse to medical emergency ___Yes ___No ___NA\nnotification timely ___Yes ___No ___NA\nPhysician ___Yes ___No ___NA\nPhysician Assistant ___Yes ___No ___NA\nNurse Practitioner ___Yes ___No ___NA\nNurse(s) ___Yes ___No ___NA\nEmergency Medical Techs ___Yes ___No ___NA\nOthers ___Yes ___No ___NA\nCPR ___Yes ___No ___NA\nACLS List protocol (s) used (if appropriate) By EMS. ___Yes ___No ___NA\nProblems encountered during medical emergency, e.g., equipment, communications, transportation. Describe briefly: ____________________________________________________________________\n____________________________________________________________________\n____________________________________________________________________\nProviders responding maintain current certification / credentials in BCLS, ACLS (if required) ___Yes ___No ___NA\nSUMMARY REVIEW:\nInmate 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. (b)(7)(A)\nOn 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.\nOn 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 (b)(7)(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 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\n5\nPrescribed by P6013\nDOI-OGR-00025391",
  "text_blocks": [
    {
      "type": "printed",
      "content": "DNR order",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Advance Directive / Living Will",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "REVIEW OF EMERGENCY MEDICAL CARE:",
      "position": "top"
    },
    {
      "type": "printed",
      "content": "Was death related to a medical emergency",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Yes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Response to medical emergency",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Yes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "notification timely",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Yes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Physician",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Yes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Nurse(s)",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Yes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "CPR",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Yes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "ACLS List protocol (s) used (if appropriate) By EMS.",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Yes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "Providers responding maintain current certification / credentials in BCLS, ACLS (if required)",
      "position": "middle"
    },
    {
      "type": "handwritten",
      "content": "Yes",
      "position": "middle"
    },
    {
      "type": "printed",
      "content": "SUMMARY REVIEW:",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "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.",
      "position": "bottom"
    },
    {
      "type": "printed",
      "content": "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 (b)(7)(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 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",
      "position": "bottom"
    }
  ],
  "entities": {
    "people": [
      "Jeffery Edward Epstein"
    ],
    "organizations": [
      "New York Presbyterian Lower Manhattan Hospital"
    ],
    "locations": [
      "Special Housing Unit",
      "New York"
    ],
    "dates": [
      "July 24, 2019",
      "July 30, 2019",
      "August 8, 2019",
      "August 10, 2019"
    ],
    "reference_numbers": [
      "#73618-054",
      "DOI-OGR-00025391"
    ]
  },
  "additional_notes": "The document appears to be a medical review form related to the death of inmate Jeffery Edward Epstein. The form includes various sections for reviewing emergency medical care, including whether death was related to a medical emergency, response to the emergency, and problems encountered during the emergency. The summary review section provides a detailed account of the events surrounding Epstein's death."
}