At 11.30am his oxygen levels dropped again - he was given adrenaline. A punctured lung was identified in an X-ray at 11.57am.
A transport team arrived to take him to Arrowe Park at 3pm.
When a doctor expressed hope about his prospects, Mr Johnson says Letby replied, according the prosecutors:
"He's not leaving here alive, is he?"
That remark "surprised the doctor", but "Letby's prediction came true - after all she knew what she had done and she knew what was likely to happen", Mr Johnson tells the court.
what have I just read