3:35pm
Dr Alison Ventress said the vomit had been reported to her.
For a description of Child G being in distress, and the abdomen purple and distended, she could not recall if that was something she had seen or was told, and the same went for Child G's watery stool, and a subsequenty improved abdomen.
Dr Ventress was then called urgently to theatre.
She said by this time, Child G was looking better.
She was called out of theatre before 3.30am as Child G was apnoeic and had desaturated, and it took five minutes for the saturations to pick back up.
Child G went to room 1, and had a further profound desaturation.
At the time of insertion of an ET Tube, blood-stained fluid was noted beneath the vocal cords, which Dr Ventress noted was "unusual".
Dr Brearey said he had not seen a projectile vomit in a pre-term baby like Child G.
There was a further profound desaturation at 6.05am, and the decision was made to reintubate Child G.
'Thick secretions++' in the mouth and a blood clot in the breathing tube was noted.
The NG tube was aspirated and 100ml was aspirated.
Dr Ventress said she was not sure it was air, as that was not documented, as it would be noted otherwise.
Dr Brearey took the '100ml' reading to be fluid or milk.
Letby's case, the judge says, is she did nothing wrong, and did not falsify notes.
She accepted air or milk could have been pushed from the feeding syringe into Child G's throat.
She denied doing so.
---
3:53pm
Child G was readmitted to Arrowe Park Hospital on September 8, 2015 with presumed sepsis.
She was very unwell on arrival, with severe hypertension.
A radiograph, Prof Arthurs said, was not a sign of NEC.
The baby girl gradually improved to the point of returning to the Countess of Chester Hospital on September 16.
Dr Evans said Child G was compromised by receiving a large volume of milk and air, and this was not unique to babies.
He proceeded on the basis the stomach of Child G was empty prior to the 2am feed, and a pH reading of 4 was indicative of an empty stomach.
He said babies fed by NGT "do not vomit".
He said Child G suffered significant oxygen deprivation which caused irreversible brain damage.
He concluded Child G must have had more than 45ml of milk.
Challenged on this, he said this was the first case he looked at, and reached his conclusion without looking at any other cases.
Dr Bohin said the vomit was "extraordinary", and said it was impossible to say how big Child G's stomach was, but the excess volume of milk would not be much to compromise the lungs.
She detailed a number of desaturations and events for Child G in June-July 2015.
She concluded that it was "clear" by September 7, Child G was tolerating feeds.
A pH reading of 4 was not consistent with there being a large amount of undigested milk in the stomach - she said if there was, the milk would have neutralised the pH reading [to 7]. She concluded Child G's stomach was empty.
It was put to Dr Bohin that she was modifying her opinion based on the accounts of the nurse and Dr Evans.
She refuted that, and said she based the level of milk on the pH reading, not anything Dr Evans had said.
She concluded Child G must have had a large amount of milk and air administered after the 2am feed.