A newly obtained medical report paints a disturbing picture of the scene where 33-year-old fashion entrepreneur Martha Nolan-O'Slatarra was found dead on a Montauk boat, and her family's $50 million lawsuit says it was no accident.

Nolan-O'Slatarra, an Irish-born swimwear designer who founded the brand East x East, was unresponsive the entire time Montauk Fire Department EMTs worked on her aboard a boat docked at the Montauk Yacht Club on the night of August 5, 2025. The patient care record, obtained by the New York Post on the one-year anniversary of her death, describes a body that was already cold to the touch, despite the warm cabin, with purple nail beds, purpling lips, and dried blood in her mouth, on her chest, and near the back of her head.

No active bleeding was observed. No obvious source of trauma was documented. But the EMTs noted blood on the floor near the body, and when one medic repositioned her head to open an airway and begin resuscitation, the blood appeared to originate from the back of her head.

The report also noted something the family's attorneys say investigators have never publicly explained: an unidentified "additional male" was on the scene at the time of the cardiac arrest. That man told EMTs he had been in bed with Nolan-O'Slatarra and called 911 when he could not wake her. The EMT report recorded no vomit on or near the body.

A midnight scene at the Montauk Yacht Club still hasn't been explained

The circumstances surrounding that night have raised questions from the beginning. Around midnight on August 5, 2025, a naked man was spotted running down the Montauk Yacht Club dock screaming for help. Good Samaritans who encountered him heard him shout, "Do something!" That man was later identified as Chris Durnan, the owner of the boat, a Sea Ray 540 Sundancer yacht called "Ripple." Durnan was confirmed as the last person previously identified as having seen Nolan-O'Slatarra alive.

Durnan's lawyers later told New York Magazine that he had stripped down because he was soaked in Nolan-O'Slatarra's vomit. But the EMT report makes no mention of vomit on the scene. And a second independent autopsy commissioned by the family found no evidence she had vomited before death, according to her family's attorney, Michael Bowe of Brithem LLP.

That contradiction sits at the center of the family's case.

The Suffolk County Homicide Squad took over the investigation at 4 a.m. that night. An initial autopsy performed by the Suffolk County Medical Examiner found no signs of trauma, Fox News reported, but the cause of death remained undetermined pending toxicology results. Suffolk County police initially suggested the death may have been a designer-drug overdose. As of the one-year anniversary, the medical examiner still had not released final autopsy results.

Private investigator calls the overdose theory incoherent

Patrick Zirpoli, a retired Pennsylvania State Police corporal with more than two decades of experience investigating crime scenes and homicides, reviewed the EMT report for the Post. He is not connected to the case. His assessment was blunt.

"This thing stinks."

Zirpoli said the physical condition of the body, cold to the touch in a warm boat cabin, with purpling extremities, suggested Nolan-O'Slatarra could have been dead for up to an hour before EMTs arrived. The temperature alone, he said, was a red flag.

"She should not be losing body temperature that quickly where she's cold to the touch. For [EMTs] to recognize that, that's cold."

He also challenged the overdose theory directly. Drug overdoses, he said, can produce frothing at the mouth, but not the kind of oral bleeding described in the EMT report.

"I can't see this being a drug overdose. There's things that are indicative of a drug overdose like frothing of the mouth. It's not going to cause bleeding in your mouth if you overdose on drugs."

Zirpoli concluded that the evidence pointed in a different direction entirely.

"There has to be some sort of assault or something."

He also raised the possibility that the scene could have been staged "to make it seem like something else." That assessment tracks with what the family's lawyer says law enforcement itself told the family.

Family's $50 million lawsuit alleges assault, negligence, and a cleaned crime scene

On the anniversary of Nolan-O'Slatarra's death, her family filed a $50 million wrongful death lawsuit in Manhattan Civil Court against Chris Durnan. The suit alleges he caused her death through assault, negligence, and gross negligence.

Bowe, the family's attorney, made a striking claim about the condition of the boat when first responders arrived.

"Law enforcement informed the family they believed the scene had been cleaned before responders arrived."

Bowe also said the family's independent autopsy, conducted by a medical examiner he described as "world renowned", found only trace amounts of cocaine in Nolan-O'Slatarra's system. That examiner, Bowe said, does not believe she died from intoxicants, "especially given her youth and good health."

Nolan-O'Slatarra was 33 years old. She was originally from County Carlow, Ireland. Her family has been waiting more than a year for the Suffolk County Medical Examiner to release official results, results that could confirm or contradict the competing theories.

Suffolk County police say the investigation continues, but no charges have followed

The Suffolk County Police Department has offered one public statement: "The investigation is still continuing." No arrests have been reported. No charges have been filed against anyone in connection with the death.

The family initially retained prominent New York attorney Arthur Aidala, who pushed back on early overdose speculation. Nolan-O'Slatarra's mother, Elma Nolan, told Fox News simply: "I don't know what happened to my daughter." The family sought a second autopsy in the United States before her remains could be returned to Ireland.

What remains unanswered is substantial. The identity of the "additional male" in the EMT report has not been publicly confirmed. Whether that person is Durnan, or someone else entirely, is unclear from the available records. The specific designer drug Suffolk County police initially suspected has not been named. And the official cause of death, more than a year later, has still not been released.

A 33-year-old woman was found cold, purple, and covered in blood on a warm boat in Montauk. The man who owned that boat was seen running naked through the night. The scene may have been scrubbed before anyone in uniform set foot on it. And a year later, the only people who seem to be demanding answers are the ones who lost a daughter.

When institutions go quiet and investigations drag on without resolution, it falls to families, and to the courts, to force accountability into the open. That is exactly what this lawsuit is designed to do.