12:44pm
The judge says Prof Arthurs said there was no evidence on the radiograph image for Child E of an air embolus, but that did not exclude it may have happened.
He said there were no features of NEC on the x-ray.
Professor Sally Kinsey said Child E did not have a blood clotting problem.
Dr Evans said Child E was "incredibly stable", at increased risk of NEC, but suitable treated.
He said if a baby had NEC, they would become "gradually unwell" and Child E would not have coped with handling in any way, and have a distended abdomen, along with other observations.
He said NEC was not a viable explanation.
He said there was a significant haemorrhage and something must have caused this.
He noted the 'unusual' discolouration, which prior to this case he had only seen in literature as evidence of an air embolus.
He said there must have been some sort of trauma caused by a piece of equipment, such as an introducer.
He said there was no "innocent explanation" for it.
He said he has never seen an ulcer cause this type of bleed.
He said the haemhorrhage was caused by trauma.
Dr Bohin says she formed her opinion on the case, and refuted 'going along' with Dr Evans' conclusions.
She said the decision not to hold a post-mortem examination was "a poor decision".
Dr Bohin said babies with NEC do not go from being well one minute to very unwell the next.
The 16ml aspirate before the 9pm feed "struck her" as being odd, and did not match Child E's clinical picture at that point, and was "at a loss" to describe where that had come from.
She said the NGT insertion can sometimes cause "very minor bleeding" in a baby, but not a haemhorrhage.
The blood vomit was "an extremely unusual feature".
Dr Bohin had never seen a baby have a gastric haemhorrhage in this way, the court is told.
She believed Child E died of an air embolus
The judge says Prof Arthurs said there was no evidence on the radiograph image for Child E of an air embolus, but that did not exclude it may have happened.
He said there were no features of NEC on the x-ray.
Professor Sally Kinsey said Child E did not have a blood clotting problem.
Dr Evans said Child E was "incredibly stable", at increased risk of NEC, but suitable treated.
He said if a baby had NEC, they would become "gradually unwell" and Child E would not have coped with handling in any way, and have a distended abdomen, along with other observations.
He said NEC was not a viable explanation.
He said there was a significant haemorrhage and something must have caused this.
He noted the 'unusual' discolouration, which prior to this case he had only seen in literature as evidence of an air embolus.
He said there must have been some sort of trauma caused by a piece of equipment, such as an introducer.
He said there was no "innocent explanation" for it.
He said he has never seen an ulcer cause this type of bleed.
He said the haemhorrhage was caused by trauma.
Dr Bohin says she formed her opinion on the case, and refuted 'going along' with Dr Evans' conclusions.
She said the decision not to hold a post-mortem examination was "a poor decision".
Dr Bohin said babies with NEC do not go from being well one minute to very unwell the next.
The 16ml aspirate before the 9pm feed "struck her" as being odd, and did not match Child E's clinical picture at that point, and was "at a loss" to describe where that had come from.
She said the NGT insertion can sometimes cause "very minor bleeding" in a baby, but not a haemhorrhage.
The blood vomit was "an extremely unusual feature".
Dr Bohin had never seen a baby have a gastric haemhorrhage in this way, the court is told.
She believed Child E died of an air embolus
What with that and Lucifer’s eyes everywhere this morning, the thread needs a trigger warning 
