On December 28, 2016 a
Exhibit,Appendix
was filed
involving a dispute between
Ansel Johnson,
Minel Johnson,
and
Amer Homsi,
Bernard Rimpel,
David Schaner,
Joseph Dergan,
Sarina Cranage,
Stacey Martindale,
The Brooklyn Hospital Center,
Umesh Mishra,
for Torts - Medical, Dental, or Podiatrist Malpractice
in the District Court of Kings County.
Preview
FILED: KINGS COUNTY CLERK 03/03/2021 03:25 PM INDEX NO. 523101/2016
NYSCEF DOC. NO. 91 RECEIVED NYSCEF: 03/03/2021
V The Brooklyn Hospital Center .
121 Dekalb Ave, Brooklyn, NY 11201
Date: _1/ __ / Time: _[ _ __ AM/PM. Loc,ation: Diagnosis:
. Type of Event: O Resp O Resp-+Cardiopulmonary O Cardinpü|mcñai-f Witnessed O Y O N Pt Consciods @ onset OY O.N
Pulse present @ onset? O Y D N AED applied O Y O N Ç] NA Ventilation @ onset O Spontaneous O Apnea O Assisted
ETT·
Intubated by: O Anesthesia O CRNA O Physician O RCT SIze: .. ..
Type of VetttilationO BVM O ETT O
- Trach O Mouth/Mask ETT Placement.confirmed by: O Auscultation O ETCO2
Resuscitation.Ended: Time: AM/PM Status O Successfully Resuccitated O Expired
Reason Resuscitation Ended: O Restoration of Circulatior
,a
O Restor
.5M5571N
ationof
..
Vent
. .
lation
.
O Unres onsiv3
,M to ACLS
.
us
Sp02/ . us Q uJ .
.Resp
. Time HR Rhythin Rate BP
I
PH . C 32 . . Sat Signaturea PRIN fNAME
PO2 HCO3 O2
Fingerstick/Bleod Glucose: Code Leader
Na+ K+ CI- Anesthesia
CO2
Additional Comments: . Respiratory
RN Recorder
2nd RN/Pharmacist
WhileCopy:MedicalRecord PinkCopy- Nursing YeRowCopy: Phannacy
Document Filed Date
March 03, 2021
Case Filing Date
December 28, 2016
Category
Torts - Medical, Dental, or Podiatrist Malpractice
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Preview
FILED: KINGS COUNTY CLERK 03/03/2021 03:25 PM INDEX NO. 523101/2016 NYSCEF DOC. NO. 91 RECEIVED NYSCEF: 03/03/2021 V The Brooklyn Hospital Center . 121 Dekalb Ave, Brooklyn, NY 11201 Date: _1/ __ / Time: _[ _ __ AM/PM. Loc,ation: Diagnosis: . Type of Event: O Resp O Resp-+Cardiopulmonary O Cardinpü|mcñai-f Witnessed O Y O N Pt Consciods @ onset OY O.N Pulse present @ onset? O Y D N AED applied O Y O N Ç] NA Ventilation @ onset O Spontaneous O Apnea O Assisted ETT· Intubated by: O Anesthesia O CRNA O Physician O RCT SIze: .. .. Type of VetttilationO BVM O ETT O - Trach O Mouth/Mask ETT Placement.confirmed by: O Auscultation O ETCO2 Resuscitation.Ended: Time: AM/PM Status O Successfully Resuccitated O Expired Reason Resuscitation Ended: O Restoration of Circulatior ,a O Restor .5M5571N ationof .. Vent . . lation . O Unres onsiv3 ,M to ACLS . us Sp02/ . us Q uJ . .Resp . Time HR Rhythin Rate BP I PH . C 32 . . Sat Signaturea PRIN fNAME PO2 HCO3 O2 Fingerstick/Bleod Glucose: Code Leader Na+ K+ CI- Anesthesia CO2 Additional Comments: . Respiratory RN Recorder 2nd RN/Pharmacist WhileCopy:MedicalRecord PinkCopy- Nursing YeRowCopy: Phannacy