TTTTT RRRR A U U MM MM A
T RRRR AAA U U M M M AAA
T R R A A UUUUU M M A A
+++ CCCCC EEEEE N N TTTTT EEEEE RRRR +++
+++ C EEE NNN N T EEE RRRR +++
+++ CCCCC EEEEE N NN T EEEEE R R +++
+++++++++++ +++++++++++
+++++++++++ +++++++++++
+++ SSSS EEEEE CCCCC OOOOO N N DDDD +++
+++ SSS EEE C O O NNN N D D +++
+++ SSSS EEEEE CCCCC OOOOO N NN DDDD +++
OOOOO PPPPP III N N III OOOOO N N
O O PPPPP I NNN N I O O NNN N
OOOOO P III N NN III OOOOO N NN
+ Trauma Center: Second Opinion +
S/XS Rank and Special Bonus Guide
by CreemyNougat
v0.5
Table of Contents
Introduction
Version History
Before Reading On...
Quick Reference Key - Operation and GUILT Strain Listing
Operation Outlines
GUILT Strategies
Coming Soon
Contact Information
Legal and Credit
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**********************************Introduction**********************************
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Hello, and welcome to my Trauma Center guide! Before reading on, make sure
you're reading this guide for the right reasons. If you need a walkthrough, hit
backspace. This is not a how-to for how to pass operations. This is an outline
of what goals you need to achieve to earn an S or XS on each operation. Any tips
are geared solely toward. I DO include GUILT strategies, but only because I find
that they are an aid in finishing operations quickly and earning the time bonus.
Essentially, what I'm doing with this guide is outlining the special bonuses
you need to achieve for each operation, and offering tips on how to do that.
Most importantly for many players, THIS GUIDE IS NOT SPOILER FREE. I don't
include spoilers for their own sake, but I'm not going to go to the effort of
avoiding them, so consider yourself warned.
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********************************Version History*********************************
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v0.1 11/30/06
Began rough guide with basic formatting.
Completed Chapters 1-3.
v0.2 12/01/06
Added tabel of contents
Improved formatting.
Added terrible ASCII art.
Reworked format of XStra Tips and rewrote for Chapters 1-3.
v0.5 12/02/06
Added all of Chapter 4.
Added GUILT Strategy section and completed strategies for all but Deftera.
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******************************Before Reading On...******************************
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For ease of both typing and reading, I've condensed the presentation of special
bonuses to reflect all three difficulties with one line.
Example:
Vitals stayed above 60/70/75
On Easy, you earn the bonus if vitals stayed above 60.
On Normal, you earn the bonus if vitals stayed above 70.
On Hard, you earn this bonus if vitals stayed above 75.
Got it?
I hope so. If you don't, you probably shouldn't be allowed to hold a scalpel...
even a fake one.
Sometimes you can hit all of the Special Bonuses and still not get your S or XS
rank. If you need to boost points, there are three ways to do it. More COOLs,
more time, or more vitals.
The actual point value of a COOL varies by action and operation, but a COOL
always gets you more points than a GOOD would have. If you're meeting all the
bonuses but not getting the rank you want, you might be getting too many GOODs.
Vitals and time are easier to decipher. Five bonus points per second and point
of vitality. You should always take time to max out vitals before bandaging your
patient if you can do so while still earning any applicable Special Bonuses.
Also, there are many operations where you can be "too skilled." Some operations
award a special bonus for achieving a MAX CHAIN over a certain amount, but it's
possible to complete the operation perfectly without achieving that chain! If
you're really having problems XSing that operation you're ridiculously good at,
check my tips to see if you need to actually slow down to achieve the required
MAX CHAIN.
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******************************Quick Reference Key*******************************
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If you need help on a specific operation and don't like scrolling through the
whole FAQ, use your browser's "find" tool along with these operation titles to
jump right to whatever's bugging you.
Chapter 1
Operation 1-1: A Standard Procedure
Operation 1-2: Learning the Ropes
Operation 1-3: A Farewell
Operation 1-5: Singing the Blues
Operation 1-6: A Real Doctor
Operation 1-8: Life or Death
Operation Z-1: From Overseas
Chapter 2
Operation 2-1: Dormant Ability
Operation 2-3: Striving for Asclepius
Operation 2-4: Awakening
Operation 2-6: Just Let Me Die
Operation 2-9: Please Let Me Live
Operation 2-11: For the Greater Good
Operation Z-2: Miracle
Chapter 3
Operation 3-2: GUILT
Operation 3-4: Something Precious
Operation 3-6: An Explosive Patient
Operation 3-8: Caduceus on a Plane
Operation 3-10: Pandora's Box
Operation Z-3: Pursuit
Chapter 4
Operation 4-2: Race for the Cure
Operation 4-4: Stepping Up
Operation 4-6: The First Step
Operation 4-7: Medical Research
Operation 4-8: The Next Step
Operation 4-9: Progress
Operation 4-10: Prolonged Struggle
Operation Z-4: Transplant
Chatper 5
Operation 5-2: Under the Knife
Operation 5-3: Shifting GUILT
Operation 5-4: GUILT Evolves
Operation 5-6: Infection
Operation 5-8: A Devil
Operation 5-9: Death Awaits All
Operation Z-5: Sayonara
Chapter 6
Operation 6-3: Relapse
Operation 6-4: Second Opinion
Operation 6-6: The Future of GUILT
Operation 6-7: Fallen Heroes
Operation 6-8: Vulnerability
After the operations, I've included mini-guides on how to deal with the various
strains of GUILT you'll encounter. Use your find function for these as well.
Kyriaki Find: KYRIAKISTRAIN
Deftera Find: DEFTERASTRAIN
Triti Find: TRITISTRAIN
Tetarti Find: TETARTISTRAIN
Pempti Find: PEMPTISTRAIN
Paraskevi Find: PARASKEVISTRAIN
Savato Find: SAVATOSTRAIN
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Let's begin the operations!
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***********************************Chapter 1***********************************
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Operation 1-1: A Standard Procedure
Patient Kevin Turk is suffering from lacerations and glass fragments are lodged
in his arm.
Objective: Suture the lacerations and remove the glass fragments.
Special Bonuses
No mistakes.....................................................1000
Vitals stayed above 60/70/75.....................................500
Completed with 240/270/275 left (4:00/4:30/4:35).................300
3/4/6 COOL's earned..............................................200
XStra Tips
Healing Touch: Not available
When to raise vitals: Not available
Specific tips: The only real advice I can give is to advance further
into the game before attempting to S or XS this operation. It's not difficult,
but you do need a great grasp on the controls before you can really zoom through
it. Also, make sure you're getting cools when you remove the glass. Your cursor
(I think) needs to be in the center circle of the pan Mary holds out for you.
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Operation 1-2: Learning the Ropes
Patient Noah Laurie is suffering from a tumor in his distal stomach.
Objective: Remove the tumor.
Special Bonuses
No mistakes......................................................1000
Completed with 210/240/260 left..................................300
1/2/3 COOL's earned..............................................700
XStra Tips
Healing Touch: Not available
When to raise vitals: Not available, except when Mary tells you to.
Specific tips: If you're having problems, advance the story. Once
you're more familiar with the controls this should be a snap.
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Operation 1-3: A Farewell
Patient Neil Spence is suffering from tumors in his pancreas.
Objective: Remove the tumors.
Special Bonuses
No mistakes......................................................1000
Completed with 200/220/240 left (3:20/3:40/4:00).................300
1/2/3 COOL's earned..............................................700
XStra Tips
Healing Touch: Not available
When to raise vitals: You shouldn't need to unless you want a higher bonus,
in which case you can wait until just before bandaging.
Specific tips: This is pretty much the same as the previous operation,
with a couple extra tumors. If you can handle that one, this will be a breeze.
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Operation 1-5: Singing the Blues
Patient Elliot Cox is suffering from polyps on his trachea.
Objective: Burn off the polyps with the surgical laser.
Special Bonuses
No mistakes......................................................1000
Fewer than 15/12/6 blood pools....................................500
Completed with 150/180/210 left (2:30/3:00/3:30)..................300
1/2/3 COOLs earned................................................200
XStra Tips
Healing Touch: Not available
When to raise vitals: Utilize the time between groups of polyps to get in a
full injection. Then just max out before bandaging.
Specific Tips: Just laser/drain/gel away, really. One thing that may
trip you up is the 3 COOLs earned. You'll have get COOLs on the incision and
bandage, which are easy, but also suturing your incision closed.
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Operation 1-6: A Real Doctor
Patient Sean West is suffering from tumors and inflammation in the small
intestine.
Objective: Eliminate the inflammation and excise the tumors.
Special Bonuses
No mistakes......................................................1000
Vitals stayed above 15/20/25......................................500
Completed with 120/180/210 left (2:00/3:00/3:30)..................300
2/2/3 COOLs earned................................................200
XStra Tips
Healing Touch: Not available
When to raise vitals: If they dip below 40, get them above. That'll give you
breathing room to inject anti-inflammatory or perform
one tumor removal. Also, right after removing the last
tumor, you can get in two full injections if you're fast
before Angie tells you to ultrasound the whole area.
Specific Tips: This is pretty much your first real XS challenge. The
requirement for the completion time bonus is downright brutal. Add that to the
tendency for vitals to simply plummet, and you've got some work ahead of you.
For the inflammations, make sure you use a full syringe of
anti-inflammatory every time. Every time you dip into that blue liquid, you
should neutralize two large inflammations, four small ones, or one large and two
small.
For the tumors, you'll just plain need to be fast. Get
ultrasound/scalpel/drain/scalpel/forceps/gel down to one smooth motion. Keep in
mind you probably will have to inject stabilizer between tumors.
This one IS hard, so don't be afraid to develop your skills on later
levels that are actually easier to earn an XS on.
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Operation 1-8: Life or Death
Patient Omar Flynn is suffering from cardiac arrest and external and internal
lacerations.
Objective: Get a pulse, then suture the lacerations.
Special Bonuses
No mistakes......................................................1000
Completed with 200/225/240 left (3:20/3:45/4:00)..................300
5/8/10 COOLs earned ..........................................700
XStra Tips
Healing Touch: Automatic
When to raise vitals: Don't even worry about it.
Specific Tips: Boost your points by getting COOLs on the removal of
glass shards. Make the removal smooth, and make sure your cursor is in the
center of the dish when you let go. Other than that, you've handled this kind
of situation before.
Also, seriously don't worry about vitals. They'll spike all over, but
they'll be alright after defibrillating and will actually "max" at 30 after the
last laceration is sutured.
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Operation Z-1: From Overseas
Patient A. Chambers is suffering from shattered arm bones and internal
hemorrhaging.
Objective: Clean up the hemorrhaging and repair the bone.
Special Bonuses
MAX CHAIN over 20/25/28...........................................300
No mistakes.......................................................700
Completed with 180/210/225 left (3:00/3:30/3:45)..................500
1/2/3 COOLs earned................................................500
XStra Tips
Healing Touch: Not available
When to raise vitals: Ignore them you've closed up the patient.
Specific tips: Just memorize the shapes of the bone fragments and where
you need to place them. You won't have much time to think it through when you're
going for that XS. Remember, too, that you put the bones back in same order that
you remove them.
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***********************************Chapter 2***********************************
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Operation 2-1: Dormant Ability
Patient Jessie Pratt is suffering from blockage in his spleen.
Objective: Remove all thrombi from the patient's spleen.
Special Bonuses
No mistakes.......................................................800
Less than 6/3/2 thrombi passed through............................700
Completed with 180/220/240 left (3:00/3:40/4:00)..................300
2/3/3 COOLs earned................................................200
XStra Tips
Healing Touch: Automatic
When to raise vitals: You don't need to.
Specific Tips: When the second group of thrombi appears, you'll need to
"stall" them before your Healing Touch kicks in. Use the ultrasound to slow them
down and the forceps to stop them; don't worry about cutting or draining. Also,
you can save time by not switching tools as much if you stop them every thrombus
on screen, then scalpel them all, then drain them all, then gel them all.
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Operation 2-3: Striving for Asclepius
No patient for this operation.
Objective: Learn the Healing Touch.
Special Bonuses
Healing Touch Activated..........................................1200
2/3/4 Skilled Healing Touch passes................................550
3/2/1 Passable Healing Touch passes...............................250
XStra Tips
Healing Touch: Uh...the whole time?
Specific Tips: Yyyeah...this one's a little weird.
All you need to do is make a bunch of stars on your TV. Also, that's no typo...
the 250 point bonus actually does get easier as difficulty increases. That's
because it's actually tied into the 550 point bonus.
I don't know how the game decides what's "passable" and what's "skilled."
Just do it right a bunch of times and you'll S/XS this. There's no time limit or
anything; be as fast or as slow as you want.
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Operation 2-4: Awakening
Patient Mario Kovac is suffering from multiple aneurysms in his large intestine.
Objective: Remove and treat the aneurysms.
Special Bonuses
MAX CHAIN over 30/40/50...........................................500
No aneurysms ruptured.............................................700
Completed with 60/90/150 left.....................................200
4/6/8 COOLs earned................................................600
XStra Tips
Healing Touch: Activate just before the last set of aneurysms appears.
When to raise vitals: Between groups of aneurysms if there is a break.
Specific tips: Priority number one is keeping the aneurysms from
bursting. For the pairs, inject enough serum into one to make scalpel lines
appear, then inject the second. Quickly cut/remove/drain/pinch and then inject
more serum into the first aneurysm. Don't start suturing until all the aneurysms
are gone.
For the final group, you'll have your Healing Touch. The easiest way to
get through these is to be quick. Inject them all completely, then cut them all,
then remove them all, then drain them all, then forceps them all. You should be
able to complete that much within your Healing Touch time since you're not using
any time to reinject the aneurysms.
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Operation 2-6: Just Let Me Die
Patient Linda Reid is suffering from lacerations in her lower right lung.
Objective: Treat the lacerations.
Special Bonuses
MAX CHAIN over 8/10/20............................................600
Less than 3/2/1 hemorrhages.......................................200
Wound did not reopen..............................................200
4/6/7 COOLs earned...............................................1000
XStra Tips
Healing Touch: You don't need it, but use it before your incision
just for kicks and a ten second operation.
When to raise vitals: Just before bandaging if you really want.
Specific tips: This is a fun one. It's the first operation where you
can actually be too good for an XS ranking. If you perform the operation
perfectly and logically, treating the more serious lacerations first, your
chain will be 19. How do you get a chain of 20? Treat one large laceration
completely, then all of the small ones. Then just up her vitals until you
notice more blood around the second large laceration. THEN you can drain it,
getting more than the normal 3 OK's, increasing your chain to at least 17 so
that your stitching, sterilizing, and bandaging bring your chain to 20.
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Operation 2-9: Please Let Me Live
Patient Linda Reid is suffering from lacerations in her lung. Yes, again.
Objective: Treat the lacerations (then kill the Kyriaki causing them.)
Special Bonuses
MAX CHAIN over 30/40/50...........................................500
Completed with 120/150/180 left (2:00/2:30/3:00)..................500
Wound did not reopen..............................................300
No mistakes.......................................................700
XStra Tips:
Healing Touch: Probably most useful on the just before the large
Kyriaki appears.
When to raise vitals: If they get below 20, or while waiting to attack
the large Kyriaki during your Healing Touch.
Specific tips: If you've played much further you already have plenty of
experience with Kyriaki. This one's pretty simple once you've practiced on the
little buggers.
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Operation 2-11: For the Greater Good
Patient Elisa Chalke is suffering from mitral prolapse and regurgitation.
(I don't get it either.)
Objective: Replace her faulty heart valve with a synthetic one.
Special Bonuses
MAX CHAIN over 8/14/16............................................500
Fibrillation occurred less than 6/4/3 times.......................700
Completed with 200/220/240 left (3:20/3:40/4:00)..................400
No mistakes.......................................................400
XStra Tips
Healing Touch: Just before your incision in the heart itself.
When to raise vitals: Don't worry about them; just raise them at the
end for the Vital Bonus if you want.
Specific tips: Your roughest constraints here are the MAX CHAIN and
fibrillation bonuses.
Your Healing Touch will help avoid the fibrillation; you'll move through
the valve replacement so quickly that the heart won't have a chance to act up.
The MAX CHAIN bonus requires that you do well on the sutures for the
valve and the actual heart. For the valve, treat it like a vertical incision,
just a very wide one. For the heart, start and end your suturing at the "tips"
of the incision, and just be fast and not too inaccurate. (Thanks to Aaron "rmz"
Ramsey for his guide's tip on the valve suture, and to JustinHayabusa for his
suggestion on the heart suture.)
Also, it may help if you know that you don't have to lift the scalpel
between the three incisions. You can just keep the button held down.
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Operation Z-2: Miracle
GUILT victim is suffering from unusual tumors in the large intestine.
Objective: Excise the tumors.
Special Bonuses
Tumors did not regenerate.........................................600
MAX CHAIN over 50/60/100..........................................400
No mistakes.......................................................600
Completed with 130/160/180 left (2:10/2:40/3:00)..................400
XStra Tips
Healing Touch: Automatic
When to raise vitals: Max them before lasering off the polyps from the
second round of tumors. Vitals actually skyrocket
just from burning off the polyps from the last set,
but only once the tumors are removed.
Specific tips: This is another operation where too much speed can deny
you your chain bonus. You should always get to a chain of 100 if you blaze
through the tumors until the set of four appears. If your vitals are maxed, you
can complete the whole tumor removal without injecting stabilizer and shave some
seconds off your time.
For the last set, drain and cut two tumors. Then, burn off some polyps and
apply gel before moving on the other two tumors. This will allow your chain to
reach 100 by the time you finish. Then just remove the tumors, take care of the
remaining polyps, and the rest is business as usual.
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***********************************Chapter 3***********************************
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Operation 3-2: GUILT
Patient Jack Reyes is infected with Kyriaki.
Objective: Destroy the Kyriaki.
Special Bonuses
MAX CHAIN over 30/40/50..........................................1000
Completed with 120/150/180 left (2:00/2:30/3:00)..................500
No mistakes.......................................................500
XStra Tips
Healing Touch: Activate right before cleaning up after the set of
two small Kyriaki.
When to raise vitals: While waiting for Kyriaki to make more lacerations,
and between hits on the large Kyriaki.
Specific Tips: This is a stage where the MAX CHAIN requirement on Hard
means that you have to wait for damage to occur to the patient, so that you can
repair it to increase your chain.
The perfect chain you earn if the Kyriaki don't create extra lacerations
is 48. Just ignore vitals until the two small Kyriaki show up. Suture their
initial lacerations, then just pump vitals until they each make another one.
That'll get you from 48 to 50 and earn you the special bonus. Use your Healing
Touch right before cleaning up from those two.
You can kill the big Kyriaki within the timeframe of the Healing Touch
while injecting stabilizer after every hit you make with the laser.
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Operation 3-4: Something Precious
Patient Amy Chase is suffering from the Deftera strain in her stomach and lungs.
Objective: Remove the Deftera.
Special Bonuses
MAX CHAIN over 30/50/60...........................................800
Completed with 80/120/150 left (1:20/2:00/2:30)...................500
No mistakes.......................................................700
XStra Tips
Healing Touch: Activate JUST after draining a pair of Deftera for the
third time, during the procedure in the lungs. That
way you can excise the tumor before it does too much
damage, and maybe even make progress on the remaining
Deftera pair.
When to raise vitals: ALL THE TIME! If you're not buring tumors or attacking
Deftera, keep those vitals up. They will PLUMMET once
the Deftera pair up into a tumor.
Specific Tips: Yet again, you need to sacrifice time in order to get
a high enough chain to earn the MAX CHAIN bonus.
You SHOULD hit 60 if you open Amy up immediately, and then just pump her
vitals until each of the first large tumors creates a smaller one. Then burn
them all with the laser and pump vitals again while you wait for the Deftera to
show up. Then you should be able to just burn the tumors that show up while you
wait for the Deftera to combine.
Make sure you can fire off a Healing Touch on the first try. It's most
most useful between draining and the appearance of a tumor, but it's only a
large enough window of time for just one shot at a Healing Touch.
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Operation 3-6: An Explosive Patient
Patient is a time bomb.
Objective: Dismantle the bomb.
Special Bonuses
No Healing Touch.................................................1000
Core reached faster than 120/90/80 (3:00/3:30/3:40)...............700
Did not approach MISS limit.......................................300
XStra Tips
Healing Touch: Avoid to earn Special Bonus
Specific tips: First, make sure you can open the cover and adjust the
voltage with at least 4:45 remaining. To earn all of the bonuses you have to get
to the core with at least 3:40 left on the clock.
To destroy all the panels within the tight time limit, you'll need a fast
and steady hand and a good eye. Pay attention to the intervals between the
shifts in blinking panels. You should be able to fire off five panels between
shifts if there are easy panels to hit. Just go fast, but carefully.
Most importantly, you CAN make a single mistake when removing the panels.
Doing so will not disqualify you from any special bonuses, but two mistakes will
dig you a fiery grave.
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Operation 3-8: Caduceus on a Plane
Patient Chi McGinley is suffering from edema of the lungs.
Objective: Drain the fluid from the lungs.
Special Bonuses
No mistakes......................................................1000
Operation completed before 7/5/5 jolts............................500
Inflammation remained below 10/6/3................................300
Completed with 120/180/210 left (2:00/3:00/3:30)..................200
XStra Tips
Healing Touch: Activate just after a jolt when vitals are getting under
50 or 60.
When to raise vitals: Anytime the plane is about to jolt and you haven't found
a spot to drain fluid yet, or during your Healing Touch
after you've drained a few spots of fluid.
Specific Tips: Memorize the "hiding spots" of the fluids. They appear
randomly, one at a time, but you have to be pretty accurate with the ultrasound
and with the speed you need, you'd better know EXACTLY where you might find a
spot instead of wasting time where one will never appear. Also, get ridiculously
quick with the scalpel/drain/gel maneuver. Nothing feels as good as pulling that
off a half-second before the plane starts jolting like crazy.
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Operation 3-10: Pandora's Box
Patient Reuben is suffering from an unknown strain of GUILT. (Triti)
Objective: Remove the Triti.
No Healing Touch.................................................1000
less than 13/8/2 membranes multiplied.............................500
Completed with 120/180/210 left (2:00/3:00/3:30)..................300
No mistakes.......................................................200
XStra Tips
Healing Touch: Avoid to earn Special Bonus
When to raise vitals: If you're fast enough, you won't need to.
Specific tips: Just follow the guidelines for removing Triti in the
GUILT tips section. [This section is forthcoming in a future update.]
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Operation Z-3: Pursuit
Patient H. Makurami is suffering from external trauma and possibly internal
injuries as well.
Objective: Seal the lacerations and internal injuries, with the aid of your
trusty penlight.
Special Bonuses
Flash used 3/2/1 times or less....................................800
MAX CHAIN over 20/30/35...........................................400
No mistakes.......................................................300
Completed with 150/180/200 left (2:30/3:00/3:30)..................500
XStra Tips
Healing Touch: Activate before making your incision.
When to raise vitals: MAX THEM OUT before activating your Healing Touch.
Specific tips: If you can even pass this on Hard, you're well on your
way to an XS. Vitals fall ridiculously fast from the patient's injuries, which
is why you want to activate Healing Touch before venturing inside the patient.
It should give you time to deal with all of the internal injuries.
The big trick to this is memorizing most of the wound placement on the
third set of injuries. You only get one flash, so if you can memorize where some
of the smaller lacerations are, you can use that time to treat the embedded
glass and the large laceration. Also, if you're really quick and place the
penlight right, you can treat a couple of smaller lacerations before it dies.
********************************************************************************
***********************************Chapter 3***********************************
********************************************************************************
Operation 4-2: Race for the Cure
Patient Joe Faison is suffering from the Tetarti strain.
Objective: Destroy the immature Tetarti and take a sample for analysis.
Special Bonuses
MAX CHAIN over 5/10/12...........................................1000
Toxins formed fewer than 10/5/3 times.............................500
Completed with 80/120/140 left (1:20/2:00/2:20)...................300
No mistakes.......................................................200
XStra Tips
Healing Touch: Activate just before incision; it can carry you through
the entire procedure if you're fast.
When to raise vitals: At the very end if you feel you need points.
Specific tips: This isn't one that should pose any problems. Just
peform the procedure without messing up; your Healing Touch should allow you to
kill the Tetarti fast enough to prevent toxins from forming.
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Operation 4-4: Stepping Up
Patient Greg Kasal is suffering from the Tetarti strain.
Objective: Destroy the Tetarti
Special Bonuses
MAX CHAIN over 10/15/18...........................................500
9/6/3 or fewer diverticula formed.................................500
Completed with 60/150/180 left (1:00/1:30/2:00)...................400
No mistakes.......................................................600
No mistakes........................................................600
XStra Tips
Healing Touch: Just before the appearance or reappearance of Tetarti.
It'll get you through two rounds of serum injection;
which two you use it for is up to you.
When to raise vitals: You don't really need to worry about them, but you have
time between each round of Tetarti for a full injection.
Specific tips: For tips on Tetarti, see the GUILT tip section. [This
section is forthcoming in a future update.]
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Operation 4-6: The First Step
Patient R. Anderson is suffering from the Pempti strain.
Objective: Get enough data for Victor to develop a treatment.
Special Bonuses
MAX CHAIN over 10/15/17............................................???
No mistakes........................................................???
Finished 9/10/10 of Victor's orders................................???
XStra Tips
Healing Touch: Activate before starting the blue/yellow injection. This
will give you a decent amount of time to do what you
need to do before the core moves around on you.
When to raise vitals: When Victor tells you to after injecting the white serum
for the first time.
Specific tips: Yeah. I know. Victor only gives you 9 orders. That's if
carry them all out immediately. The trick to earning the bonus for 10 orders is
to let the patient's vitals drop below 70 before injecting the first white
serum. Victor will tell you to get his vitals up. Do so, and voila, you've
finished the 10th order. (Credit goes to Afropuff from the GameFAQs forums for
the solution to that conundrum.)
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Operation 4-7: Medical Research
Patient is a puzzle.
Objective: Solve the puzzle.
Special Bonuses
Finished faster than 20/10/5.....................................2500
XStra Tips
Healing Touch: Not available.
Specific tips: Memorize the puzzle and do it really fast. That's all.
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Operation 4-8: The Next Step
Patient R. Anderson is suffering from the Pempti strain...still.
Objective: Defeat the Pempti.
Special Bonuses
MAX CHAIN over 30/50/70...........................................600
No mistakes.......................................................600
Completed with 180/195/210 left (3:00/3:15/3:30)..................800
XStra Tips
Healing Touch: Activate whenever you'd like; it's not too much of a
help on this one, but it'll save you a few seconds.
When to raise vitals: After lasering tumors and before injecting nanomachines.
Specific tips: This shouldn't be too much trouble. Injecting serum and
lasering tumors is really all there is to this one.
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Operation 4-9: Progress
Patient is a puzzle.
Objective: Solve the puzzles.
Special Bonuses
Finished faster than 30/20/15....................................2500
XStra Tips
Healing Touch: Not available.
Specific tips: You really only have to memorize the second puzzle; you
get all the time in the world to refresh yourself on the first one because Angie
is talking to you right at the start of the "operation."
Just know 'em and do 'em. Fast.
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Operation 4-10: Prolonged Struggle
Patient R. Anderson is STILL suffering from the Pempti strain.
Objective: Destroy the Pempti.
Special Bonuses
MAX CHAIN over 50/70/100..........................................600
Completed with 80/120/140 left (1:20/2:00/2:20)...................800
No mistakes.......................................................600
XStra Tips
Healing Touch: Save it for when vitals dip really low and you don't
have time to get them up between attacks.
When to raise vitals: Every chance you get, because you won't get many.
Specific Tips: I've managed to get all of the bonuses on Hard and only
get an S. I recommend letting one or two red things make some lacerations for
you to get a COOL on, but no more than that! If vitals aren't over 70, don't let
red things get by. On Easy and Normal, you may need to let a lot of lacerations
occur, but on Hard, so much will happen anyway that you'll probably get the
points you need without letting the patient get too damaged.
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Operation Z-4: Transplant
GUILT victim is in need of a kidney transplant.
Objective: Remove the tumors to make room for the new kidney, then insert it.
Special Bonuses
Tumors did not regenerate.........................................800
Finished before vasoconstrictor expired...........................200
No mistakes.......................................................700
Completed with 210/225/230 left (3:30/3:45/3:50)..................300
XStra Tips
Healing Touch: Just after you incision. You'll pretty much need the
ability to excise the tumors on Hard without killing the
patient.
When to raise vitals: Make sure they're at least 35 before making any of your
cuts for your blood vessel attachments.
Specific tips: You'll have to be very fast on this one. Just keep the
vitals up and make good use of your Healing Touch and you should get the XS if
you're speedy enough.
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********************************GUILT Strategies********************************
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If a certain strain is keeping you from that XS rank, maybe you could use some
strategy tips specific to that GUILT. I didn't include GUILT tips in the
operations since it would get really repetitive really quickly. But there are
tips here if Deftera's pissing you off or Angie's "clue" to Triti's pattern
isn't helping you out. (Don't feel bad. Her "clue" doesn't help anyone.)
Keep in mind that these strategies probably won't work as well in X Missions.
First Strain - Kyriaki KYRIAKISTRAIN
Kryiaki are parasites that cause lacerations from inside the body.
Use the ultrasound to locate them within an organ. The scalpel can be used
to cut them out so that you can hit with the laser a few times to kill them. Any
time you operate on Kyriaki, you'll face a "boss" Kyriaki that will take more
hits than the smaller ones and will actually retreat back under the surface of
the organ after you hit it. Whereas the smaller Kryiaki will make single small
lacerations when they appear, the large one makes three big lacerations that do
a lot more damage to vitals. Instead cutting the "boss" out and lasering it to
death, you cut it and shoot it, cut and shoot it, etc, until it's dead. Also,
each time you face this strain, before they appear you'll have some small
lacerations to suture as well as some larger ones to drain and pinch before
suturing.
Kryiaki attack in a simple pattern, if you want to call it that. You'll
dealing with up to three smaller Kyriaki at a time. Once a group appears,that's
all you'll fight until you defeat them and heal any wounds that occurred during
the fight. New Kyriaki won't show up until after you've sutured all lacerations
and applied gel to all the smaller cuts. Generally, you'll want to suture all
the wounds and then inject some stabilizer if you need it before applying the
gel.
On Easy and Normal, once you get good at fighting this strain, you most
likely won't have to worry about vitals dropping fast enough to kill your
patient. Just try to keep vitals above 50 or so. If speed is your main goal, you
can trying killing any onscreen Kyriaki all at once, then repairing the wounds
they cause. If you're playing on Hard and you need to worry about keeping the
patient alive, just try to keep vitals around 50 or so and suture any wounds
before attacking the Kyriaki. Also, make SURE vitals are at least at 50 before
letting any new Kyriaki appear, especially the "boss." Vitals will take a big
hit when it appears with its three huge lacerations.
Second Strain - Deftera DEFTERASTRAIN
Deftera are tumors that simulate movement by replicating their DNA into
adjacent cells, and come in two equal and opposite kinds, Type A and Type B. As
the Deftera "move" they create they create large tumors in the tissue which will
spawn their own small polyps.
[I've heard that you can apply anti-bacterial gel to block Deftera's path
so that you can "herd" them together or keep like types apart. I haven't had to
use this strategy myself; it's apparently not necessary. I'm going to experiment
with the idea, though, and develop my strategy for this FAQ based on whether I
find the gel to be an aid or not.]
Third Strain - Triti TRITISTRAIN
Triti is membrane that can spread itself around an entire organ and encase
it completely. The membrane is protected from direct removal by thorns that hold
each triangular piece in place at each of its corners.
Destroying Triti is unfortunately not a simple matter of removing the
thorns and then the membranes. That's because each time you take a piece out, it
will replicate itself if it can. The basic flow of a Triti operation will
alternate between removing thorns and removing pieces of the membrane. Sometimes
a thorn will dissolve into gas when you pinch it with the forceps; if this
happens, drain it immediately before the gas spreads and turns into a new piece
of membrane.
The real trick to Triti is knowing the pattern by which is reproduces.
(Credit goes to rmz for his guide where I found the pattern. rmz gives credit to
Ryn for the information.) Angie tells you "it looks like it spreads if two
membranes are next to each other!" This is misleading and wrong and means that
Angie is a filthy liar. There are two situations in which Triti will replicate.
The first is triggered by your removal of any piece of membrane. If you remove a
piece and there are two thorns next to each other anywhere with room next to
them for another piece of membrane, it will spread there. The second situation
is when a piece of membrane is isolated without any other membranes touching it.
If a thorn regenerates before you remove the isolated membrane, more pieces will
sprout up on every side of the lone membrane.
To avoid the first replication situation, you'll spend every Triti
operation alternating between removing thorns and removing membrane pieces. Note
that Triti won't spread at all past the edge of the organ. You can leave those
thorns in place until you need to remove the membranes there. Just remove enough
thorns that no two are together and can replicate, and then remove any membranes
that you can. You will have to work to avoid creating the second situation
before you have to.
To avoid the second situation, work from one side to another treating the
GUILT as a whole instead of as parts. Some operations will give you more than
one distinct group of membranes; if there's space between, treat them as more
than one entity. Work on "pushing" the GUILT into one side or corner. You'll be
giving it less and less room to spread, making things easier for you. When you
get down to two pieces by themselves, STOP. Wait for the two pieces to regrow
all of their thorns, then quickly remove all four and then the two membranes. If
you don't wait for all four thorns to regenerate before pulling out one of the
membranes, you run the risk of a thorn regenerating before you can pull out the
second piece and then you've got three or for pieces to worry about instead of
just two.
Fourth Strain - Tetarti TETARTISTRAIN
Tetarti are a group of parasites that release gaseous toxins, as well as
having the ability to create toxic diverticula. Diverticula are sores that grow
until they too release gaseous toxin.
Tetarti come in three flavors, and to defeat them you have inject each
with a serum specially designed for that flavor. When beginning a Tetarti
operation, there will already be diverticula to remove. You'll have to inject
the appropriate serum into each sore. Removing them is the same as with anything
else; scalpel, forceps, new membrane. It's safest to stop all the sores at once
before cutting any out, but if you're fast enough, you can inject the serum and
remove them each separately before any of them burst on you.
The actual Tetarti themselves will begin to appear after you cut out all
of the diverticula. They'll appear in unison and you'll see their coloring for
a few moments until they start moving around. Once they're moving you have to
have either a good memory or go by the toxins they release as they move around,
since each flavor releses its own color of gas. (In later operations you'll have
ONLY the gas to go by; you won't be able to distinguish colors on the actual
Tetarti at all.) To damage the Tetarti, you have to inject each flavor with the
appropriate serum before they retreat back under the surface. They tend to alter
the direction of their movement rather abrubtly, making it very easy to miss and
inject serum into the patient, which counts as a miss. For this singular reason,
Tetarti is the strain of GUILT I loathe more than any other, since you need to
get through these operations without a mistake to get S rankings. All you can do
is develop a very steady hand to inject the Tetarti without missing.
If you end up injecting a Tetarti body with the incorrect serum, all of
the bodies that haven't yet been injected with the correct serum will produce
diverticula for you to deal with.
Fifth Strain - Pempti PEMPTISTRAIN
Pempti is a fluid driven by a regenerative core. Over time it spreads
throughout an entire organ, suffocating it from the inside.
There are several plot-driven operations where you're not actually
attacking Pempti; rather, your operation serves to collect data which furthers
your colleagues' understanding of the strain and helps to eventually develop a
remedy. Those operations explain themselves, really, and this section will focus
only on your actual fights with Pempti.
When fighting Pempti, you want to keep your laser centered on the core as
much as possible. While the core will be hiding an invulnerable most of the
time, if your laser is shooting at you'll do damage to its attack bits as they
are created. There are three attack patterns that Pempti will throw at you. The
first is pink bits that come out one at a time, and create a laceration if they
are not destroyed in time. They disappear after the laceration whether you kill
it or not. The second attack is five blue bits that form a V formation and drag
the liquid Pempti through the whole organ and back. As the liquid recedes, small
tumors are left behind that must burned and then coated with gel. The third
attack is five spiralling blue bits that simply drop vitals.
To attack the pink bits, keep your laser centered on the core and follow
the pink bits keeping the laser trained on them. They appear one a time, so if
your hand is steady enough, you can avoid letting any of them cause damage.
To attack the V-formation blue bits, aim at the core and then when the
bits appear and get into formation, pick a side and keep your laser centered
between the two bits on that side. You'll damage them simultaneously and you may
have time to kill the center bit before tumors are created. When the liquid core
turns gray you will not be able to damage the blue bits. Also, if you wait too
long to kill the remaining two or three bits, the ones you've already killed
will regenerate. Kill the bits and destroy the leftover tumors in between later
attacks.
To attack the spiralling blue bits, keep your laser centered on the core
and as they appear, you should damage them all rather heavily before they even
start to spread out. Once they start their spiralling movement, you'll have to
move the laser with them and kill one at a time.
Any time you see the core come out of hiding, shoot it. Any time you see
attack bits start to form, shoot them. Any small chance you get to raise vitals,
take it. Pempti fights are always a long struggle and a single mistake can start
a domino effect where vitals are dropping and bits are attacking and you end up
too far behind to be able to catch up. Just keep preventing the Pempti from
doing too much damage, and eventually you'll come out on top.
Sixth Strain - Paraskevi PARASKEVISTRAIN
Paraskevi is a parasitic worm that burrows its way through organs until it
reaches the inside of the heart. It then destroys the vital organ, killing its
victim.
You'll attack Paraskevi by lasering its tail to stop its movement, then
cutting it with your scalpel. That Paraskevi will then divide into TWO worms,
until eventually the worms it splits into are too small to cut and you can just
remove them with your forceps. Paraskevi MUST NOT be moving when you try to
remove it or it will count as a miss.
Your first priority with Paraskevi will always be stopping any moving
worms. This will prevent them from being able to burrow deeper into the patient,
which would either prolong the operation and lower your score, or flat out kill
your patient. You'll want to suture the lacerations caused by splitting
Paraskevi as soon as you can, as well. ALWAYS ALWAYS ALWAYS attack the SMALLEST
Paraskevi you can see. It's much easier to deal with large Paraskevi since the
worms get much faster when they're smaller. Cut the smallest worm until you get
to a size you can extract, then remove them and attack the next smallest worm
still in the patient.
Paraskevi are a unique strain in that the most stressful part of any
operation involving them tends to be towards the beginning. Say there are four
"levels" to the Paraskevi you're fighting; that is, it can split four times
before you remove it. You'll split it once and have two; split one of those and
have three; split one those and have four; then split one of those and have
five. This would be your absolute most difficult part, since once you remove the
worms you can, you'll never have to have that many on screen at the same time
again. Right before you remove your first Paraskevi is the most crucial part of
the operation.
To keep vitals up, take a breather when you've only got two or three worms
to keep track of and inject stabilizer when none are moving. As you get down to
smaller and faster worms, you won't have a lot of time to keep vitals up since
your first priority is stopping and removing the Paraskevi.
Seventh Strain - Savato SAVATOSTRAIN
Savato is an almost spiderlike GUILT that builds a web around the heart to
steal the energy of its heartbeat, and thus the life of its victim.
A Savato operation will consist of several phases. In the first phase, you
will destroy Savato's web. In the second phase, you'll burn away its protective
coating and then cut at it with your scalpel. In the final phase, you'll inject
it with a specially designed serum.
To destroy Savato's web, simply cut it with your scalpel. Unfortunately,
this will actually ruin your scalpel and you'll have to wait for your assistant
to replace it before cutting another strand. When waiting for a scalpel you can
just keep the A button held down; you'll start cutting again the instant your
scalpel can be used. Always keep your cursor over an intersection of the webs,
as this way you'll damage each strand at the same time. Every so often Savato
will spin a new strand of web and create some little purple baby Savatos. Laser
the babies only when you're waiting for a scalpel; your first and only real
priority is to destroy the entire web.
The next phase of Savato requires you to keep a steady laser shot trained
on the offending GUILT. Savato will also be attacking the patient at this point,
by creating three smaller lacerations or one larger one out of which babies will
pour. Burn the babies IMMEDIATELY or they can swarm together and make a larger
blue creature that will plummet your patient's vitals. Only start lasering the
actual Savato if your laser is fully ready. Just keep it on Savato as much as
possible; if it moves too quickly for you to follow, let go of the laser and
start it up again when your aim improves. If you concentrate enough fire within
a certain timeframe you'll get an OK and its coating will dissolve a little bit.
Once its coating is gone, give it a quick slash with your scalpel.
Eventually the time will come to inject the serum instead of cutting the
GUILT. Once you inject it, Savato will go crazy creating six lacerations at a
time over and over again. It'll take two Healing Touches for your aim to be true
enough to inject a final load of serum and kill the GUILT. (Don't worry; the
plot always somehow provides a way for you to use two.)
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**********************************Coming Soon**********************************
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This, clearly, is only a prelminary version of the guide. The guide is still in
progress and being updated every couple of days or so.
Chapters 5-6 and X Missions are forthcoming.
Super quick checklist - want to know if vitals matter on a certain operation?
Need to know if you can make mistakes, or if time remaining will even get you a
special bonus? I plan to add a section that'll just list the framework without
any specifics, in case you want to remain independent of in-depth help but still
need a quick question answered.
Example:
Operation 1-1
No mistakes
Vitals stayed above X
X time remaining
X COOLs earned
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**********************************Contact Info**********************************
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Contact Info
Please, talk to me! I'm lonely! =(
Okay, I'm not really lonely. =) BUT, if you have any feedback I'd love to hear
it. Let me know if I've helped you, or if you have any tips of your own, or if
there's something more you think I should include or edit. If you email me,
include "Trauma Center FAQ" or something; I don't list my main email, but I do
have a forwarding filter on, so keywords will let me get back to you faster. If
you message me on AIM and I don't respond, it's probably because I'm not at my
computer and not because I don't like you. If you're going to sign off and I
haven't gotten back, leave me an email address. I'll respond to you when I get
your messages. AIM can sometimes glitch, too. If all else fails, email!
email: [email protected]
AIM: CreemyNougat
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********************************Legal and Credit********************************
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Trauma Center and everything about it is trademark of Atlus USA.
This FAQ is copyright (c)2006 by Jason Palm.
This FAQ is currently authorized to be posted only at gamefaqs.com.
I am happy to have this posted elsewhere, but please contact me for permission
before doing so.
This FAQ is not to be reproduced in whole or in part without express permission
and duly assigned credit.
This FAQ is not intended for use in any profitable enterprise.
Credit goes to Aaron "rmz" Ramsey for his guide's aid in sutures for Operation
2-11.
Credit also goes to JustinHayabusa for help on that same operation.
More credit to rmz for his guide's explanation of the Triti pattern. rmz credits
Ryn for this information in his guide.
Thanks to Afropuff for figuring out how to carry out ten of Victor's orders.
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