Published: November 28, 2022
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I'm back at Manchester Crown Court for the murder trial of nurse Lucy Letby. Jurors will continue to hear evidence in relation to Child F this morning, who survived after allegedly being poisoned with insulin by Ms Letby, who denies all charges against her

Consultant paediatrician Dr Satyanarayana Saladi is in the witness box. He is taking the court through his notes from August 2015 when Child F was at the Countess of Chester

Dr Saladi is taking jurors through clinical notes from early August 2015 which show Child F's blood sugar levels were low. Other measures such as white blood cell levels were in the 'normal range' and the baby was 'handling well'

The medic says that there was no abnormal breathing or heartrate and no abnormal bowl sounds. He assessed the baby's condition as 'satisfactory' on the morning of August 5

Dr Alison Ventress, who was a registrar at the Countess of Chester in 2015, is now in the witness box. She's taking the court through medicine charts recorded in the days following Child F's birth

She explains that a dose of insulin would always be prescribed by a doctor and it would always be administered as a separate infusion, never added to another fluid

A nurse, who cannot be named for legal reasons, is now giving evidence. She is going over her notes from the morning of 3 August 2015, which show that Child F was in some respiratory distress, but was coping well.

By the end of her shift that day he was 'satisfactory' showing 'no signs of any issues'

The nurse's notes show that in the hours before Child F's heart rate surged to over 200bmp and his blood sugars dropped, he was stable and handling well

Her notes also show that Child F was, at the request of his parents, due to be moved from the Countess of Chester to another hospital, but the transport team was unavailable due to another unrelated emergency

Another nurse, who also cannot be named for legal reasons, is now in the witness box. Again she is taking the court through Child F's breathing/heart rate charts from her night shift - all showing the infant was 'stable'

The nurse said she had 'no concerns' about Child F on the evening of August 4

We're back after a short break. A former nursing colleague of Ms Letby, who cannot be named for legal reasons, is continuing to give evidence. She's talking the jury through Child F's medical charts in the days after his birth

The nurse is talking the court through the process of fitting a new babiven bag (used to supply fluids/medicines). She says the bags are checked by two nurses and says nothing new would be added to the bag once it was made up

Her note from the early hours of August 5 show that Child F 'became quieter' and was 'slightly jaundiced'....doctors administered fluids and medicines and he became 'more lively' as a result. She said that during this period his blood sugar levels were 'dangerously low'

The nurse observed that Child F had been 'nice and stable' but in the hours between midnight and 1am his heart/breathing rates 'suddenly' rose to a 'concerning level'

The jury are now being shown a 22minute instructional video on how intravenous bags are manufactured and prepared (this is to aid with understanding of evidence due to be given tomorrow, which the prosecution say is fairly technical)

Court has now adjourned for the day, back tomorrow.

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