Caduceus Database

Awakening is Episode 2-4 of Trauma Center: Under the Knife and Second Opinion.

Story[]

Derek has gained the hang of using his Healing Touch, so now comes his first opportunity to use it in a proper operation. Following a successful operation, he collapses from the strain he has endured.

Conference[]

Briefing - UtK
Today's patient is Mr. Kovac, who was carried in this morning... He's currently not doing very well. Tests showed a number of aneurysms near his large intestine. Some of them have ruptured, and there is risk of anemia. We need to perform a laparotomy and treat the aneurysms. The objective of this operation is:
- Treat the aneurysms on the outer membrane of the large intestine.
That should be all. First, inject a sedative into the swollen vessel to reduce its size. Excise the problem area, and suture the vessel closed. You'll need to use the magnification again, to help your accuracy. Derek, concentrate on the patient. Don't worry about anything else.
...Okay!
Let's begin the operation!
Briefing - SO
Today's patient is Mr. Kovac, who carried in this morning... He's currently not doing very well. Tests showed a number of aneurysms near his large intestine. Some of them have ruptured, and there is a risk of anemia. We need to perform a laparotomy and get those aneurysms under control. The objective of this operation is:
- Treat the aneurysms on the outer membrane of the patient's large intestine.
That should be all. First, inject a sedative into the swollen vessel to reduce its size. Excise the problem area, reconnect the vessel, then suture it shut. You'll need to use magnification again, to ensure your accuracy. Derek, concentrate on the patient. Don't worry about anything else.
...Okay!
Let's begin the operation!

Operation[]

This is one of the most notorious operations due to needing to manage multiple aneurysms on a magnified operating field. Expect to make good use of the magnifier to survey for any new aneurysms being formed while you work.

The first aneurysm is not accompanied by anything else, giving a great opportunity to learn and understand the procedure. After this point, the level will start introducing multiple aneurysms at once to force you to manage your sedative wisely.

When managing multiple aneurysms, work towards sedating and cutting each aneurysm in view before doing anything else. Attempting to treat each aneurysm one by one will take too much time and risk an aneurysm bursting. An aneurysm that's just been sedated and cut but yet to be extracted will not start swelling again or cause blood pools (or other aneurysms) to form.

The final phase of the operation throws five (UtK) or four (SO) aneurysms at once, and the patient is almost bound to die if they all burst at once. This normally would be a time to use the Healing Touch to save the day, but an experienced or skilled player can move fast enough to keep each aneurysm under control. You may need to spread a single syringe's worth of sedative around evenly to keep a single aneurysm from swelling too much while you're working on everything else.

Special Bonuses[]

UtK[]

  • No Healing Touch
  • No aneurysms ruptured
  • Completed with 90 left
  • 10 COOL's earned

SO[]

  • [Easy/Normal] MAX CHAIN Over [30/40]: 500
  • [Hard] No mistakes: 500
  • No aneurysms ruptured: 700
  • Completed with [60/90/150] left: 200
  • [4/6/8] COOL's earned: 600

Operation Rank[]

UtK[]

  • S:5600~

SO[]

  • C:~6399
  • B:6400~6799
  • A:6800~7099
  • S:7100~7299
  • XS:7300~

Getting XS in SO[]

The biggest obstacle here is getting things done without any aneurysm rupture. You'll find yourself spreading the sedative around plenty to keep things in check. There is no penalty for using the Healing Touch in this version, so don't be afraid to use it to handle the final wave of four aneurysms.

Trivia[]

  • It is possible to finish this operation without needing the Healing Touch. In fact, it's the only way you can S-Rank this level in Under the Knife. Regardless, Derek will collapse from exhaustion in the post-op cutscene.

Miscellaneous Dialogue[]

Failure - UtK
You're done here, I'll do the rest!
Failure - SO
You're done here, I'll have to finish it!
Trauma Center: Under the Knife and Trauma Center: Second Opinion
Characters
Caduceus Derek StilesAngela ThompsonRobert HoffmanSidney KasalTyler ChaseVictor NiguelCybil MyersStephen ClarksLeslie Sears
Delphi AdamKenneth BlackwellNozomi WeaverNavelOwen
Patients Linda ReidAmy ChaseSinners
Others Greg KasalMary FultonRichard AndersonLangston Miller
For minor characters, see: Minor Characters
Episodes
Chapter 1: Dr. Stiles PrologueStandard ProcedureStandard Procedure 2/Learning the RopesA FarewellNurse AngieSinging the BluesA Real DoctorDownpourLife or Death
Chapter 2: The Healing Touch Dormant AbilityMaster SurgeryStriving for AsclepiusAwakeningPaying the PriceJust Let Me DieReasons WhyReconciliationPlease Let Me LiveCaduceusFor Everyone's Sake/For the Greater Good
Chapter 3: Caduceus New BeginningsGUILTThe Darkness WithinSomething PreciousInternational ConferenceAn Explosive PatientFootfalls of TerrorMiracle at 9,800ft/Caduceus on a PlaneDeserted VillageForbidden Knowledge/Pandora's Box
Chapter 4: Bio Terror Hope Under AttackRace for the CureNothing to Do but WaitStepping UpForeboding CluesTaking a First Step/The First StepMedical ResearchThe Next StepNew Laser Technology/ProgressDoctors' Struggle/Prolonged StruggleIncurable Disease
Chapter 5: It Never Ends Caduceus in ActionUnder the KnifeShifting GUILTGUILT EvolvesInfiltrationInfectionDelphiDevil/A DevilDeath Awaits All
Chapter 6: Original Sin (UtK) Delphi HQFirst SinSecond SinThird SinFourth SinFifth SinSixth SinFinal SinAdamEpilogue
Chapter 6: Dark Gospel (SO) An InvitationCaduceus EuropeRelapseSecond OpinionOriginal SinThe Future of GUILTFallen HeroesVulnerabilityEpilogue
Z-Episodes (SO) From OverseasMiraclePursuitTransplantSayonara
X missions X-1: KyriakiX-2: DefteraX-3: TritiX-4: TetartiX-5: PemptiX-6: ParaskeviX-7: Savato