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LORD JUSTICE RIX LORD JUSTICE WILSON and LORD JUSTICE STANLEY BURNTON ____________________
Mr Paul Lopez (instructed by Challinors, West Bromwich) appeared for the Appellant, the father. Miss Margaret Hodgson (instructed by Anthony Collins Solicitors LLP, Birmingham) appeared for the First Respondent and Cross-Appellant, the mother. Mr Sylvester McIlwain (instructed by their legal department) appeared for the Second Respondents, the local authority. There was no appearance on behalf of the Third Respondent, the child by his Children's Guardian. Hearing date: 10 December 2010 ____________________
(a) E had low oxygen saturation: this means that there was a reduced amount of oxygen in his blood. It led him to appear cyanosed: this means that he exhibited the blue discolouration associated with insufficient oxygen.
(c) E had a capillary refill time of more than four seconds, i.e. it was unduly long. A basic test for capillary refill time is, with a finger, to press hard against an area of skin at the periphery of the body, such as on the feet, until it is white and then, having removed the finger, to measure the time until the skin returns to its previous colour.
(d) Blood was smeared around E's nose and mouth: it is agreed that he had suffered epistaxis, i.e. a nose-bleed.
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