ICU and You · Superpuzzle Series · Number 48

Neonatology

Eighteen clues · companion to Mind Map #31 and Aphorism #35

Type straight into the grid — click a square or a clue to start, and the letters will advance for you. Nothing is saved, so finish in one sitting and press Send my answers when you are done. Most of it comes from this week's mind map. Four are history, and one of those is a Colombian hospital that ran out of incubators.

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On a phone, scroll the grid sideways. Arrow keys move; typing a letter moves you on; backspace steps back.

Across

  • 5born with the amniotic membrane still over the head — once thought to protect against drowning
  • 6metabolite above 100 that points to an inborn error of metabolism
  • 8infusion that reopens the duct, at the cost of apnoea
  • 11what you start a term resuscitation in, rather than 100% oxygen
  • 14waxy coating that reduces heat and water loss at birth
  • 15fine hair covering the preterm baby, shed before term
  • 16the corrective steps when the chest will not rise: Mask, Reposition, Suction, Open mouth, Pressure, Airway
  • 17Dr Apgar's first name — she devised the score in 1953, and the backronym came nine years later

Down

  • 1phospholipid that stops the alveoli collapsing at the end of every breath
  • 2…… colour change: one half of the baby flushes, the other stays pale, and it means nothing at all
  • 3ratio of compressions to breaths in the newborn (three words)
  • 4…… score, which estimates gestational age from posture and skin
  • 7…… care, skin to skin, invented in Bogotá in 1978 when the incubators ran out
  • 8the saturation probe goes on the right hand at birth, giving this reading
  • 9group B streptococcus, by its species name
  • 10antiviral added when the neonate seizes or has vesicles
  • 12the pulses you must feel for in any collapsed baby
  • 13seconds of delayed cord clamping in the vigorous newborn

Sending your answers

Finish it, or get as far as you get — partial sets are welcome and are how I find out which clue was unfair. The button collects whatever you have typed and puts it into an email to me.

If the button does nothing on your device, screenshot the grid and send it to icuandyou@icloud.com instead.