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EFTA00133090 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY Ma 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/2019): The unfixed
00133084 FORENSIC TOXICOLOGY LABORATORY THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER 520 FIRST AVE NEW YORK, NY 10016 Decedent Name : Jeffrey Edward Epstein Laboratory No : FT19-03508 Medical Examiner :00IIME ME Case No : M-19-019432 Examination Date : 8/11/2019 Specimen Type : Blood(Femoral): FT19-0
A00133089 EFTA00133090 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY Ma 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/201
T: M.E. CASE # Ig•tt- 2_ t - °Jut, aluie.-/ b./4-51.2f Mikkivai s EXAMINED DY DR DATE / /2011 EFTA00133102 MIK of Decevern. Epstein, Jeffery fil1.110 N.L.N-12-0124 2 I.( 1 EFTA00133103 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK AUTOPSY NOTES Slw-fr or DC Epstei Jeffe
to report the number and a Lieutenant can only sign off on the count sheet when the number on the count sheet matches the number on the El sheet. JEFFREY EPSTEIN (EPSTEIN, previously identified) was housed in SHU. EPSTEIN met with his lawyers everyday between 8am and 8pm on the third floor of MCC. was not pr
n inmate. Control called for ambulance 6:40 am: , AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epst in remains unresponsive. Inmate Epstein is intubated, given t ree rounds of Epinephrine, IV access started, IC initiated. No pulse found, no shock advised, inmate prepared for transport t
nagement Depi y Notes: Exam: AutopsyEsam Completed By: Note neer ME Supplemental Note Department Pathology Daterkne: 08111/201918:48 Entered By: Kristin Roman Notes: Before the autopsy and this evening. I spoke to DeteciNeliga from the FBI %Jason unit at NYPD. I explained to him what information I need (
\ ht r b. * ,,,tv,NT 07: 4,0 .II '1r lga I I * Jeffrey Epstein Death Investigation New York Field Office EFTA00161494 • July 6, 2019 Epstein was arrested on federal sex trafficking charges in New York • Ju
\ ht r b. * ,,,tv,NT 07: 4,0 .II '1r lga I I * Jeffrey Epstein Death Investigation New York Field Office EFTA00161494 • July 6, 2019 Epstein was arrested on federal sex trafficking charges in New York • July 8, 2019 Epstein was detained at Metropolitan Correctional Center (MCC) in downt
of Incident INMATE SUICIDE Date and Time of Incident Inmate Name Rcg. No. Location of Incident Photograph(s) by 08/10/2019 6:33 A Al EPSTEIN, JEFFERY REG:;"6318-054 Date and Time of Photo 08102019 6:49 All I pe of Incident IN llA11. 5(.1011)1 Rae and Time of Incident (is 10 2019 6 33 AI Inma
ent 08./10/2019 6.33 AA/ Inmate Name !Reg. No. EPSTEIN JEFFERY REG;76318-054 Location of Incident ZA Photogra
ted to "notify the on-call psychologist and place inmate Epstein on a watch status until psychology can conduct a
racture locations I red lint"). BACKGROUND: On 12 August 2019. the Forensic Anthropology Unit received a hyoid and larynx that were removed by Dr. Kristin Roman during the autopsy of a 66-yearsold male and submitted for a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicar
.y-1£495 0c:? .001 " %ghl W:t 4 )-2))•Vb 0 EFTA00049614 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Performed by: Kristin Roman, M.D. Date of Autopsy: 08/11/2019 FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF
0 EFTA00049624 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8120/2019): Th
NMS v.18.0 EFTA00049624 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON
of 2 EFTA00049627 BP4358.060 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE CDFRM FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMA
OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Perf
OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Performed by: Kristin Roman, M.D. Date of Autopsy: 08/11/2019 FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF NECK B. PETECHIAL HEMORRHAGES OF BILATERAL PALPEBRAL CO
.O 19 35 - tC6 a:30 5 6f 3 (-1- , a: ?S- 0 L- "7 SDNY_00016 075 EFTA00137963 From: To: Dale: Subject: 871020198:31 PM Last contact with Epstein I visited inmate Epstein in SHU on Thursday. He was getting ready to meet with his attorneys (or the day so I had gone to visit him right after the
pe: Suicide Autopsy Status: Autopsy Ordered RLS: na Anticiapted Death: no DNR/LSCE no PreWminary Cause of DeathAlleged 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 Hypertriglycendemia treated with Vascepa, no p
d 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
OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein Autopsy Performed by: Kristin Rom
EFTA00137973 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein Autopsy Performed by: Kristin Roman, M.D. M.E. #: M-19-019432 Date of Autopsy: 08/11/2019 FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF NECK B. PETECHIAL HEMORRHAGES OF BI
Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00163486 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) •
Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00163486 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) • 07/09/19: Epstein placed with cellmate Nicholas Tartaglione • 07/23/19: Epstein's first suici
cident I Tate of Incident Inmate Name. Rcg. No. Location of Incident Photograph(s) by Date and Time of Photo .C1.411. 117O1. 0s /0 2019 6 33 JAI EPSTEIN. .11: FFERI REGP76318054 UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163494 Type of Incident INMATE SUICIDE Rue and Time of Incident 08/1020
ENFORCEMENT SENSITIVE EFTA00163494 Type of Incident INMATE SUICIDE Rue and Time of Incident 08/102019 6:33 AM Inmate Name / Reg. No. EPSTEIN. JEFFERY REG#763 18-05-1 Location of Incident Z I Photograph(s) by Lt. Date and Time of Photo ON 10 ?019 6:49 AA/ es r „......." .. -, _...— . . •
racture locations I red lint"). BACKGROUND: On 12 August 2019. the Forensic Anthropology Unit received a hyoid and larynx that were removed by Dr. Kristin Roman during the autopsy of a 66-yearsold male and submitted for a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicar
T OiN......\ lij e 4• * 'Pt' 4* . 6 * “...". .S• / Ili ..:) rtkr 4, `'. IIII Ai. •46. it 4-.........y ... * 4?-8'4 V OF 1:t..1.., 1 Jeffrey Epstein Death Investigation New York Field Office 90A-NY-3151227 EFTA00163517 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC)
4-.........y ... * 4?-8'4 V OF 1:t..1.., 1 Jeffrey Epstein Death Investigation New York Field Office 90A-NY-3151227 EFTA00163517 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) • 07/23/19: Epstein's first suicide attempt • 07/24-29/19: Epstein placed on suicide watch • 0
ORCEMENT SENSITIVE EFTA00163525 Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33.111 Inmate Name / Reg. No. EPSTEIN, JEFFERY REG4763I8-054 Location of Incident Z.1 Photograph(s) by 1.4 S. JEAN Date and Time of Photo OS /0 20/9 6:49.111 l it .• . ..---- ,--......"
) b Date and l'itne of Photo US 10 20194'33 AM EPSTEIN JEFFERY Ra;',2 76318-0.54 b. S. JEAN- ON /0 20/9 6 49 kt
one to the (eft superior horn. BACKGROUND: On 12 August 2019. the Forensic Anthropology Unit received a hyoid and larynx that were removed by Dr. Kristin Roman during the autopsy of a 66-year-old male and submitted for a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicar
Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00164864 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) •
Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00164864 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) • 07/09/19: Epstein placed with cellmate • 07/23/19: Epstein's first suicide attempt • 07/24-2
-6318-054 08,102019 6:49 Al! I> Incident INMATE S(.1(11Th Date and I iine of Incident 08'10,2019 6 33 .I .t1 Inmate Name. Reg. No. EPSTEE1/41 JEFFERY REG;-'76318-054 Location of Incident Z4 Photograph(s) by Date and Time of Photo ON /0'0/46 PI All airP-EMS EMT 0-i4.44* -it UNCLASSIFIED//LA
dent 0811012019 633:14! Inmate Name ! Reg. No. EPSTEIN JEFFERY REG-476318-054 Location of Incident kt Photogr
racture locations I red lint"). BACKGROUND: On 12 August 2019. the Forensic Anthropology Unit received a hyoid and larynx that were removed by Dr. Kristin Roman during the autopsy of a 66-yearsold male and submitted for a trauma analysis. The hyoid was cleaned in warm water and a combination of sodium bicar
Entities connected to both Jeffrey Epstein and Kristin Roman

Ghislaine Maxwell
PERSON
Joi Ito
PERSON
George W. Bush
PERSONFederal Bureau of Prisons
ORGANIZATION
Metropolitan Correctional Center
ORGANIZATIONSpecial Housing Unit
ORGANIZATIONNicholas Tartaglione
PERSONNew York Field Office
LOCATIONCentral Office
ORGANIZATION
Oscars
ORGANIZATIONVascepa
ORGANIZATIONNew York Presbyterian Lower Manhattan Hospital
ORGANIZATIONNEUROPATHOLOGY
ORGANIZATIONMarko
PERSONLocation of Incident
ORGANIZATIONHEPATIC STEATOSIS
PERSONHEPATIC
ORGANIZATIONI. Diagram
PERSONLC-MS
ORGANIZATIONthe Forensic Anthropology Unit
ORGANIZATION