Part 4: Hidden Peril

Hey, Sylvia. What can I do for you?
I'm leaving for the administration office. Would you like me to pick anything up for you?
Hmmm... Let me think... Oh, it would be nice if we had some sweets for the kids...
OK, I'll pick up some candy, then. What about for the doctors?
Don't even bother... They're too busy!
Sounds like Dr. Tulba's doing just fine then! Well, see you later!
Be careful out there!



Whew, I'm finally done with my rounds.
Welcome back, Dr. Tulba.
Oh, thank you, Mrs Thompson. What are you up to?
I'm writing my report to Caduceus USA.

Again, it's originally Caduceus Japan.

Wow... Sounds like a lot of work.
I'm on top of it. But that's not necessarily true for everyone...
Is that so?



That's correct.
Th-That's not good... I've been so busy lately that I haven't even started...
That's what happened when you procrastinate.
I wasn't really procrastinating...
You're always procrastinating! ALWAYS! *sigh* You'll never learn! How many times do I have to tell you to start shaping up on your office work!?

I said that he's turned into a real doctor, but that doesn't mean that he's not irresponsible

Y-yes, ma'am... I'm sorry... I'll try harder on the next one...
...Geez! Here, I wrote your part of the report, but look it over before we send it out!
Huh!? You did it for me? Wow, you're amazing, Angie. You're a lifesaver even outside the O.R.! Thank you!
This'll be the last time! Is that clear?
O-of course...



What happened!?
The car that the NGO workers were in hit a landmine! The two sitting in the front died instantly. But the woman sitting in the back survived. However, she's in critical condition!
A woman!? Who is she!?
It's Ms. Warenburg!
*gasp* N-No! Why Sylvia!?
Oh my--!
Dr. Stiles! Please save her!
Of course! I'll do everything in my power!



There are fractures on the lower left of her rib cage. The bone fragments have pierced her spleen... and are causing abdominal hemorrhaging.
A land mine... There are so many of them that still need to be removed and disposed of...
Sylvia... Why did it--
Angie!
Y-Yes, Doctor!?
We have to concentrate on the task at hand. We need to be strong, for Sylvia's sake. I want to save her, and you do too, right? Then let's try to stay focused on the operation!

After all, if they're not strong, Sylvia pretty much will die.

...! Y-Yes, Doctor!
I apologize... There are two objectives in this operation...

• Retrieve bone fragments, treat spleen, and reform the rib cage.
  
• Stop the abdominal hemorrhaging.

Let's give Sylvia everything we can, Dr. Stiles!



Operation Video


I said we're going to begin most operations with an initial incision. This is not one of them.



The damage to the spleen is severe...
The hemorrhaging has caused vitals to drop. We need to treat the wound and retrieve the bone fragments quickly...

Come on, Angie. 60 vitals is still very high.



...Oh.

D-Doctor, she's going into cardiac arrest!
Use the defibrillator to resuscitate her! The paddles for the defibrillator appear whenever a patient goes into cardiac arrest. First, slide the paddles to the center of the screen!



Sliding the paddles into the middle is pure busywork and exist purely to waste our time.

The vitals will be maxed at 10 and decrease steadily during cardiac arrest and we can't raise it with the defib around, so we have to revive the patient quickly.

Keep holding the paddles for the charge gauge to fill up. When the gauge reaches the green section, let go! (Lift the stylus off the screen.) The closer you are to the green area when you let go, the more effective it will be!



To be more exact, you need to land 2 charges on gray or 1 charges on green. Charges on black does nothing except waste our time.

It's also mandatory to say that no, this is not how defib works in real life. UtK gets it right, but that realism gets abandoned for the other games.

We have a pulse! Thank goodness...
But if we don't hurry, she may go into cardiac arrest again! Let's try to finish before that happens!



A few things of note:

• A successful resuscitation will change the vitals into 24. This can be useful if the vital were lower before the cardiac arrest.
  
• The whole toolbox is now open to us, so we'll have to remember which tool does what and where they're located. It'll become second nature as you play this game.
  
• You can drain several nearby blood pools at once, which is useful since the drain sucks in these DS games.

That wound is so large...! Hang in there, Sylvia!
Doctor, we can't suture a wound that's opened up like this! Grasp one edge of the wound with the forceps and close it so it can be sutured. Pull it together until the wound becomes a single laceration.



Closing these gashes is less finicky than UtK, thankfully. The wound can reopen, but you should be able to suture it before that happens. You'd want to take care of these large gashes one at a time anyway since the blood pools can also reform.

After dealing with that gash, it's time to take out those bones.



An organ injury must have occurred! She has some wounds that will progressively worsen. You'll have to treat the lacerations while you work to retrieve the bone fragments!

Because this is a video game, those latent wounds will only occur right after we takes out those fragments. It doesn't matter what order we take them out in, only how many fragments we've removed.



Having those wounds appear will also drain the vitals, so don't forget to use the stabilizer.



After that, we just have to piece together the fragments like before. Except there's one problem...

Just as I thought... There aren't enough bone fragments. Could they still be inside the body? But where...?



...! A flatline! She's undergone cardiac arrest!
Doctor, we have to resuscitate her!



One defib session later...

We have a pulse! I-I'm so glad... Doctor, please continue treating her!



The location of the last bone fragment has been confirmed... I can't believe it's here!
The bone fragment is lodged into the spleen. We need to extract it with caution... First, drain the blood pool to get a clear view, then pull it out with the forceps!

This fragment is big, but half of it is outside so you know that it's going to be lodged deep.

Unlike that one glass shard in UtK/SO. You know what I'm talking about!



After that, it's just a matter of putting it to the right position and affixing them with the magic gel.

The bone fragments have been affixed... We're... We're done...



Not yet! We still have to close her up.



Other than increasing the score, the last-minute stabilizer also prevents us failing from a bandage's Miss.

You haven't played Trauma Center until you lose right at the final moment because of a bandage.

Operation complete...! Well done, Dr. Stiles...
Sylvia... I'm so glad that you pulled through...
Don't worry, Angie. Sylvia is a strong woman. I'm sure she'll be alright. She'll recover in no time, we'll just have to take good care of her until then!







As you've seen, 'No misses' will become a regular condition for getting max rank.



Angie... Am I... alive?
Of course you are!
Thank you, Angie... Dr. Stiles... I never imagined it would be me who needed to be saved by you guys...
Dr. Stiles... Thanks to you, Sylvia is still alive... I can't tell you how much that means to me.
It's not like I did it alone. You did your best, too.
Doctor...

Don't you feel GUILTy for Plagiarism?

I'm going to dedicate a section for operations that are recycled from New Blood. Because there's going to be PLENTY of them.



2-3 Dependable Pair

Both operations are pretty much identical. Even down to the part where we don't need to do the initial incision. Except it was justified in that game (another doctor started before he had to leave).

The only exception is that instead of the last bone coming up late, it's that the spleen worsen right before we place it. Don't worry, we'll have exactly that happen later. And also that Sylvia is the only survivor out of the three people in the car while NB's patient is the one with the worst wounds out of the three, I guess.