The judges from the original appeal stated that the rash was of limited significance as there was other evidence of air embolism.
There were also statements during the trial that the rashes changed, shifted, in size and colour, continuously. For that reason, one staff member might describe red and blotchy, while another might say purple patches which came and went.---but they seemed to agree that the size and colour changed throughout the medical incident.
Neonatal nurse Lucy Letby is found guilty of murdering seven babies and trying to kill six others.
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BABY A:
According to medical experts, the key symptoms of air injection is a rapid and inexplicable collapse that does not respond to treatment, accompanied by the appearance of an unusual skin rash.
In the case of Baby A, several medics noted "patches of pink over blue skin that seemed to appear and disappear".
The twin sister of Baby A
collapsed 28 hours after the death of her brother, in the early hours of 10 June 2015.
BABY B:
Letby, along with other medics, attended to the infant.
It was noticed during resuscitation that Baby B had "purple blotches and white patches all over her body".
A nurse who treated her, who cannot be named for legal reasons, told the court: "She looked very ill. She looked very like her brother did the night before.
"I just remember thinking 'not again' - to see his sister with the same appearance."
BABY C:
While Letby was the designated nurse for another child located in nursery three, she was present in nursery one when Baby C collapsed.
Prosecutor Nick Johnson KC asked medical expert Dr Sandie Bohin during the trial: "When you looked for a reason for (Baby C's) collapse on June 13, can you find an explanation?"
Dr Bohin replied: "No. Babies like this should not collapse. You get prior warning that something is amiss.
"They don't go from being stable into a cardiorespiratory situation within minutes. They rarely collapse in this way but they are usually responsive to resuscitation and he was not."
BABY D:
At around 01:30 BST on 22 June, 2015, Ms Oakley said she had been called off her break to assist Ms Letby and another nurse with Child D, who had deteriorated.
"There was discolouration to the skin," she said.
"I don't remember specifically the exact rash, but I remember I hadn't seen it before. It was dark, it was unusual and the rash struck me."
Ms Oakley described the rash as "deep red and brown" and covering Child D's legs, arms, stomach and chin.
Nurse Lucy Letby is alleged to have killed the baby girl by injecting air into her bloodstream.
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Here is a grok synthesis:
Based on testimonies, here is how the rashes and skin discolorations were described:
- "Deep Red and Brown" (Child D): Nurse Caroline Oakley, with 20 years of experience, described the rash on Child D as "dark," "unusual," and covering the baby's legs, arms, stomach, and chin. She testified that it was "deep red and brown" and distinctly different from typical mottling, noting it "struck" her as something she had never seen before on a baby.
- "Purple Blotches and White Patches" (Child B): During resuscitation, it was noted that this baby had purple blotches and white patches all over her body. A nurse noted she looked "very ill" and resembled her brother (Child A).
- "Strange Purple Patches" (Child E): Dr. David Harkness described seeing a "strange pattern" of purple patches on the baby's abdomen, which contrasted with the rest of the body. He said they were "unusual" and appeared during a sudden collapse.
- "Patches of Pink over Blue Skin" (Child A): Medics noted patches of pink over blue skin that appeared and disappeared, which expert witnesses argued was consistent with an air embolism.
- "Mottled/Discoloured" Appearance (Child I): A doctor noted that child I had a "significant" drop in oxygen levels accompanied by a "mottled, discoloured" appearance.
BBC +4
Key Aspects of the Testimony Regarding Rashes:
- Timing: The rashes appeared rapidly during sudden, unexplained collapses of babies who were otherwise considered stable or recovering.
- Location: The discolorations were often noted on the abdomen, chest, or limbs.
- Contrast to Normal Conditions: Witnesses emphasized that these rashes were not typical for neonatal care and, in some cases, were described as appearing to "come and go".