11:51am
On the night of October 22, Letby was on a night shift, with a different nurse being the designated nurse for Child I.
Between 8pm and Child I's collapse, the only entry Letby made in any child's records was those in her charge in room 3.
The prosecution say it was, from her records, a slow night for her.
11:53am
Just before midnight, Child I became unsettled. Letby and another nurse attended to her but Child I collapsed and required CPR.
The on-call registrar noted Child I had a mottled blue appearance of the trunk and peripheries.
After 5 minutes of CPR, Child I's saturation rate returned to 100% and she recovered to the point of 'rooting' - ie a sign of hunger, and was 'fighting the ventilator' - ie trying to breathe independently.
The ET tube was removed at 12.45am.
11:54am
At 1.06am a nurse, having left the nursery temporarily, responded to Child I's alarm and saw Lucy Letby at the incubator.
Child I was very distressed and
(inserted by me: the designated nurse ?) wanted to intervene, but Letby assured her that they would be able to settle the baby.*
"Don't worry - we will sort it out," Mr Johnson tells the jury.(
said by Letby?)
Child I then collapsed.
11:57am
The on-call doctor arrived and resuscitation attempts were made. Purple and white mottling were noted on Child I's skin.
All resuscitative efforts were unsuccessful and treatment was withdrawn at 2.10am, and Child I was pronounced dead at 2.30am.
In the immediate aftermath, Child I's parents were taken to a private room.
As the mum bathed her recently deceased child, Lucy Letby came into the room and, in the words of the mum, "was smiling and kept going on about how she was present at [Child I']s first bath and how much [Child I] had loved it.”
11:58am
The cause of death was given by the coroner as
Hypoxic ischaemic damage of brain and chronic lung due to prematurity and 1b. Extreme prematurity.
All loops of bowel showed significantly dilated lumen due to increased air content – in layman’s terms they were expanded like a partially inflated balloon. There was no sign of NEC (bowel necrosis) or any other bowel problem.
The prosecution say there were signs of "earlier hypoxic ischaemic damage – in other words, the earlier attempts to kill her had caused brain damage resulting from a shortage of oxygen."
12:03pm
Medical expert Dr Dewi Evans said he believed the apnoea monitor might have been switched off on October 13 for child I, and the deliberate administering of a large bolus of air into Child I's stomach via her NG tube on October 22/23.
In police interview, Letby said she could not remember the circumstances of September 30, and had taken over the care of Child I after the child had an "episode".
She said she had no recollection of the events surroudning Child I's death, and said the child had been returned from Arrowe Park Hospital too quickly.
In June 2019, she was asked about a sympathy card she had sent to the child's parents. She said it was not normal to do so - and this was the only time she had done so.
She accepted having an image of that card on her phone.
She was asked about the October 13 incident and challenged the nurse's account, adding: "Maybe I spotted something that [the nurse] wasn't able to spot", as she was "more experienced".
She was asked why she had searched for the parents' details on Facebook. She said she did not recall doing it.
12:04pm
The prosecution say Child I "was doing well by the time Lucy Letby got her hands on her.
"What happened...followed the pattern of what happened to others before and what has yet to happen to others.
"All of a sudden out of nowhere came vomiting, breathing problems and critical desaturations.
"It was persistent, it was calculated, and it was cold-blooded."
THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…
www.chesterstandard.co.uk
