This document is a confidential US Government Memorandum dated August 10, 2019, from a Clinical Nurse to a Captain at the Metropolitan Correctional Center in New York. It details the timeline of the medical response to finding inmate Jeffrey Epstein unresponsive in his cell (unit 9S) at 06:33 AM. The report notes specific medical observations including that the inmate was cold with circumferential bruising around the neck, posterior mottling, and asystole (no heartbeat), despite CPR efforts, AED application, and intubation by EMS before transport to a local ER at 07:10 AM.
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