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First freeze the creature using the battery, then tap on it with the chainsaw before finally removing it with the forceps. You may have to use the battery again if the creature starts to move early.
Use the red needle when you have poison inside your patient's organs. To get maximum effect from the red needle you need to drag it quickly.
After cutting with the chainsaw use the forceps to remove the item that was severed.
The most useful upgrade of the five you can purchase with your coins is the green adrenaline shot as it gives your patients more health. After that opt for the combo bonuses for higher scores and then the cutting object upgrades.