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ICU and You  ·  Superpuzzle Series  ·  Number 50

The toddler and preschool child

Twenty clues  ·  companion to Mind Map #33 and Aphorism #37

What these puzzles are for

The crossword is a pretext. Twenty clues is not a syllabus and nobody learns intensive care from a grid. What a puzzle does well is hold your attention on a word for a few seconds longer than a list would, and put a fact beside it while you are looking.

So the clues are deliberately mixed. Some are practice points you should already know and may not have thought about lately. Some are pieces of physiology. Some are history — a person, a case, a year — because knowing where a thing came from makes it stick. One or two are simply odd, and those are in here on purpose: curiosity is the thing that makes the rest of it go in.

Several clues teach rather than test: you will see the answer immediately and learn something getting there. That is the intention, not a failure of construction.

There is a printable version if you would rather work that way, and a challenge at the foot of the page.

Twenty clues from the fortnight. One of them is a first-aid measure you may not have been taught, one is a piece of anatomy that turned out to be wrong, and one is a household object nobody thinks to lock away.

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0 of 124 squares filled

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

Across

  • 1Kind of battery that can burn through an oesophagus within two hours
  • 2Torn in a small child, it is never a coincidence
  • 8Check it early in every fitting child; low levels of this both cause seizures and follow them
  • 9Everyday personal carry-all that may also hold the tablets junior swallows
  • 11Lymphoid tissue at its bulkiest between two and six, and the reason the nose blocks
  • 13One dose, for every child with croup, however mild it looks
  • 17Nebulised, it buys you time in severe croup
  • 18Traditionally said to be the narrowest point of a child's airway, where in an adult it is the glottis
  • 19Minutes of cool running water on a burn — still worth it three hours later

Down

  • 1How the peanut comes out — rigid, or increasingly flexible
  • 3Potentially fatal exertional collapse associated with sickle cell trait (acronym) — a 37-fold risk
  • 4Bolus of this ion when the wheeze will not shift
  • 5The kind of tracheal tube now standard in children
  • 6The chest that is the emergency, not the noise
  • 7Transient, and far commoner than septic arthritis
  • 1010 mL every ten minutes after a swallowed button battery, if the child is over one — jam if younger, or if there is no honey available
  • 12Beats a nebuliser in all but the sickest
  • 14Characteristically inspiratory, unlike the expiratory noise of a wheeze
  • 15The classic inhaled foreign body
  • 16The parent's ___ — where an examination can actually happen, and happen quickly

Send 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.

Send your answers

The button opens a reply straight to me with your grid filled in. If your device blocks it, write to icuandyou@icloud.com instead.