This time, he faces fees of killing 100 extra sufferers — 36 on the most important clinic in Oldenburg, a tidy metropolis that prides itself on its college and 17th-century palace, and 64 others after he transferred to Delmenhorst, a suburb of Bremen, about 20 miles away.
The presiding choose, Sebastian Bührmann, has ordered eight of Mr. Högel’s former colleagues to be investigated on perjury due to suspicion that they lied to the court docket or withheld proof within the present trial to cowl up lapses.
Revelations of obvious negligence by the hospital authorities have already led to different prison investigations. Two medical doctors and two head nurses from the Delmenhorst hospital had been charged with manslaughter. Mr. Högel is predicted to testify at their trial after the court docket reaches a verdict in his case, anticipated in June.
Former colleagues from Mr. Högel’s early days as a nurse stated he had shortly made a reputation for himself as somebody who might deal with the strain of life-or-death conditions.
In actuality, prosecutors say, he created conditions by which life and demise rested in his personal arms.
He administered overdoses of medication that prompted cardiac arrest in order that he might rush again and attempt to revive sufferers heroically. His colleagues referred to as him “Resuscitation Rambo” and rewarded his ability with a necklace product of injection tubes, which he wore with pleasure.
Of 411 deaths on the Delmenhorst hospital through the three years he labored there, 321 occurred throughout or simply after his shifts, data present. The authorities have no idea what number of sufferers he could have killed.
The circumstances of solely these victims who might be exhumed and autopsied for traces of medicines used to deal with irregular coronary heart rhythms however that may be deadly in excessive doses had been introduced earlier than the court docket.
Dr. Karl-Heinz Beine, a number one German neurologist and head physician of psychiatry at St. Marien Hospital in Hamm, stated the nurse gave the impression to be pushed by narcissism and a must fill a deep lack of self-worth.
A doctor in England, Harold Shipman, who was convicted in 2000 of killing 15 sufferers by deadly injection, was an analogous case. A authorities inquiry concluded that he had killed not less than 215 individuals. He took his personal life in 2004.
“Niels Högel is a member of this excessive minority,” stated Dr. Beine, who has researched serial killers within the medical occupation since 1989. He stated that what struck him about Mr. Högel’s testimony was his lack of empathy, even when chatting with victims’ households.
For the primary time beginning final yr, Mr. Högel, who sat via earlier trials silent and sullen, testified to the court docket. Usually, he recalled outstanding particulars surrounding the deaths. For others, he mechanically provided the identical, virtually cynical, reply: “I’ve no reminiscence, however I can’t rule out a manipulation.”
5 instances, he denied killing a affected person.