Part 1: Refugee Camp

Trauma Center Under the Knife 2 Intro

The intro isn't important enough to warrant its own update, though. The quality is awful, but



Obviously, we'll be starting on a new game.



I'll try my best to do this game on Hard Mode, but I'll most likely have to dip down back to normal for several operations.



Unfortunately, I'm not a medical expert. So I won't be able to point out all the neat similarities between this game and the real world.

And by neat I mean scary and will probably be in your nightmares.



The internal warfare plaguing the people of this country for over a decade has finally come to an end. However, they continue to struggle with attacks by guerilla militants, land mines, and refugees en masse. Still, the country is slowly walking down the path toward peace. Other countries have begun sending aid to Costigar, helping to establish medical institutions. But the number of doctors needed to staff those facilities has been hopelessly insufficient... Now... A doctor named Derek Stiles has come to Zakara, one of the Costigar's many refugee camps, to provide medical care to those in need. In these harsh lands that are ill equipped for providing medical care, Derek spends every day pouring his heart into saving those suffering from diseases...







They're in the red!



I'm going to continue as is!



Derek here is the main playable character in UtK and SO. He is also the only playable character in this game.

I'll cover his contribution from those games when it became relevant.

We need to stop the bleeding! Hand me the forceps!
Yes, Doctor!



Angie here was our companion from those two games and will be our main companion throughout this game too. Whether that's a good thing or not depends on the person.

...... Scissors!
Right away!
...... ...Alright! The damaged areas are treated!
Vitals have recovered as well!
...Let's close him up!



We're still operating! Please stay outside!
I-I'm sorry! But we just received word on an emergency patient!
What?
The army's patrol unit found a man collapsed in a swamp. It seems that he was attacked by a wild animal, and he's in critical condition.
What should we do, Doctor? We're not done with this procedure yet...
...... What about the new doctor who was supposed to start today?
He hasn't arrived yet. His bus must be running late...
...Alright! Angie, I'm counting on you to get the emergency patient brought in! I'll finish up here by myself.
Understood, Doctor!
Ms. Thompson, please follow me!



Hm, I wonder where the clinic is?



We have orders to detain anyone who looks suspicious!
N-No, I'm not a refugee. Please, don't shoot...
My name is Adel. Adel Tulba. I'm going to be working here as a doctor, and today is my first day... Here's my identification...



Hand it over! Hm, good. Looks like you're a doctor alright. Welcome aboard. Are you from the Razu Tribe by any chance?
Um, yes... I'm, uh, looking for the clinic...
Oh, it's right over-- Ah, good timing. Here comes an American nurse.

In the original release, Derek and Angie are Japanese. The localization changes them into Americans. This creates plenty of troubles in New Blood, which this game will ignore.



He's being transported right now! I need anyone who can assist!
Looks like you'll be hitting the ground running, Doctor.
The patient is suffering from multiple wounds and is bleeding profusely! Dr. Stiles! Are you ready to begin treatment!?
Stiles...?



Our supplies are limited, but we're going to have to make do!

Thankfully, since this is our tutorial operation, there is not going to be any issue with running out of equipment.

Doctor, I can help! My name is Adel, and I'm a new surgeon here!
...Great timing! But we'll introduce ourselves after this is over!As you can see, we don't have the proper equipment in this place. I'll need you to support me!
Yes, sir! I'll get changed right away!
The patient has arrived!
Alright! Let's begin the operation!



Apparently these names are references to medical dramas. Which I won't recognize because I don't watch any of them.

Our patient is a 28-year-old Caucasian male, suffering external injuries to his left calf. He's been identified as a member of a criminal organization that poaches rhinoceroses. Apparently, he was attacked by a crocodile when he was walking through a river...
I guess what goes around comes around, huh?
I don't have any sympathy for him either, Doctor.
That may be, but our obligation is to give every patient what they need, regardless.
He's got some large lacerations, and it looks like there are some fractures too. Do you see anything else, Adel?
Well, he's bleeding profusely from the area where he was bitten... Hm... and the way the bone is broken... Maybe there's a foreign object inside the wound.
You think so...? We'll have to keep that in mind as we operate.
Allow me to explain the objectives of this operation. They are:

• Arrest the bleeding and suture the external wounds.
  
• Reform the fractured bone

That's it. Remember, Doctor, we have to do our best.



Operation Video


Welcome to our first operation. I really recommend you to watch all the operation videos.

Let's begin the operation. The patient's vitals have dropped due to hemorrhaging and external trauma. Let's treat the external wounds first.



One thing you'll notice here is that the art style is closer to SO and NB than UtK. I generally prefer the latter, honestly.

We can suture the large wounds by making a zigzag pattern across it. The exact definition of zigzag varies between games. For this one, it's best to just make an N or Z.

That completes the treatment of the laceration. But before we move on, it looks like the patient's vitals have dropped. If the patient's vitals drop to zero, it'll be impossible for us to continue the operation. In order to prevent that, let's inject the stabilizer with the syringe.



The vital goes down whenever there's any wound on screen. We'll fail if the vital or time limit hits zero. This means that the stabilizer will be our best friend throughout the game. Like in the other games, we can inject it anywhere on the screen, including in the sheet. I don't think this is the case in UtK, though.

Like in UtK but unlike the Wii versions, filling the syringe up will require an upward motion from the container instead of just holding it. Releasing what's inside remains the same, though.

The patient's vitals have recovered enough for now. But, as we perform the procedure, they will continue to decrease due to the internal trauma. If the vitals get too low, don't forget to inject the stabilizer with the syringe. Now let's move onto treating those small wounds.

Right, let's select the antibiotic gel...

Small wounds like these can be treated by applying antibiotic gel. This gel can also be used to temporarily stop a laceration from hemorrhaging, and it's an effective way of providing a slight boost to the patient's vitals. Now, apply the antibiotic gel to the small wounds.



Thank you for explaining (almost) everything we need to know about the magic gel. That bit about stopping wounds from bleeding will become extremely important in later operations.

We're done treating the external injuries.
Let's make an incision and treat the compound fracture now.



Performing an incision is a standard routine that will be done at the beginning of almost every single operation.



We don't have to use the gel before cutting, but not doing so will cause the margin for error to be much smaller. And we WILL get Bad for doing so.



In this game, actions that require skills will be ranked while others will simply be "OK". There are three ranks: Cool, Good and Bad. Of course, Miss is always possible.

Having a Cool, Good or OK will increase the combo while a Bad or Miss will break it. Combos will increase our score, but survival is much more important. So don't be afraid to take a Bad if you're in a hurry.



Let's confirm the affected area first. ...The broken bone fragments are lodged in. First, we'll retrieve all the bone fragments and then reform it.



Drag the bones out of the wound and into the tray. Simple enough, but some people drag the bone directly into the tray without noticing the direction, pushing it even further to the wound and causing a Miss

The rank here is allegedly based on how straight we pull it, but I always found it pretty arbitrary.

The fourth bone fragment has been removed.
But something's not right... Aren't there too many bone fragments?
(Could it be...?)

After we continue removing the rest of the bones and sealing the wound with the gel...

The wound treatment is done. Now, let's move onto placing the bone--
Wait! It looks like there are some foreign objects mixed in with the bone fragments that you retrieved! Those two sharp ones... I don't think they're bone fragments. They look more like crocodile teeth...
Crocodile teeth!? ...You're right, they certainly aren't human bones...
No wonder it seemed like there were too many pieces... I'll go ahead and discard them.
I'm surprised you noticed that... You've got quite an eye!
Yes, please let us know if you see anything else unusual.
O-Of course!
Then, let's move onto restructuring the bone. But the impact of the fracture has bent the shinbone. First, let use the forceps to bend the bone back to its correct position.



I'm no surgeon, but I'm pretty sure that is not how you restore a dislocated bone.

That should do it for the shinbone... Now, let's start placing the bone fragments.



And then we have to use the forceps to piece together the bones like it's a puzzle.



Since there's no motion controls for the DS, we don't have to rotate things. They're automatically placed in the correct orientation.

All of the bone fragments are in place! Last, we need to affix the fragments to each other. Apply the antibiotic gel so that it covers the entire bone.



I don't think an antibiotic gel can work like a glue, but I guess it shouldn't be able to seal small wounds either, so

Affixation of the bone fragments is complete!
(I was confident about how fast I'm able to operate... but I don't even compare to him. Who is this doctor...!?)
The treatment here is complete. Let's close the patient up!



Closing up the initial incision is another important skill, one that will be utilized at the end of almost every operation.



Again, we don't have to use the gel before bandaging, but same consecuences as the initial incision.

For the bandage, we'll get a cool if we used the gel and do it exactly from one end to the other.







After each operation, we're given a rank based on the score we received. From the lowest, they're C(Rookie Doctor), B (Specialist), A (Senior Surgeon), S (Master Surgeon) and XS (see above).

There are special objectives in each operation, giving up to 2000 points. Not fulfilling all of them blocks us from attaining S and XS ranks. The 240 there means 240 seconds aka 4 minutes. All in all, this is a good start.



You're incredibly precise, and your speed... It was simply amazing!
I've never seen an operation like that, Dr. Stiles!
It was nothing special... Just the result of years of practice. And your advice was very helpful, too.
Still, compared to anyone I knew back in med school, your abilities are far superior! But... why would someone like you be in a place like this?
...It shouldn't surprise you to find doctors where there are patients, should it? Oh, by the way. I haven't introduced myself... My name is Derek Stiles, and as of today, I'm going to be your mentor. Nice to meet you, Adel.
Huh!? You're going to be my...!?

You can see that this game really likes its ellipses.

I'm Angie Thompson, his surgical assistant. Nice to meet you. We're looking forward to you being able to handle these kinds of operations soon.
Oh... Y-yes! I'll do my best!