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Caduceus on a Plane(SO) / Miracle at 9,800ft(UtK) is Episode 3-8 of Trauma Center: Under the Knife and Second Opinion.

Story[]

Derek and Angie's plane trip is interrupted with an on-flight emergency. Derek has to work on a patient suffering from respiratory failure while working around intermittent turbulence.

Conference[]

Briefing - UtK
It looks like respiratory failure... From what his wife explained, he's suffered from edema of the lungs. He was prescribed medication, which stabilized the condition. They were given permission to return home. But, stress from traveling may have aggravated his symptoms. I'd recommend an immediate lobectomy to drain the pleural fluids.
We're going to preform surgery in mid-flight?
The captain has allowed us use of the crew's cabin. Sterilized gowns and operation tools have been prepared, as well.
...We really don't have a choice...
Once we land, he can receive more permanent treatment... But for now we have one objective:
- Drain pleural fluid from inside the patient's lungs.
- Use ultrasound to find where fluid has collected, and drain it.
Understood. Let's hurry.
Let's begin the emergency operation.
Briefing - SO
It looks like respiratory failure... From what his wife explained, he's suffered from edema of the lungs. He was prescribed medication, which stabilized the condition. They were given permission to return home. But, stress from traveling may have aggravated his symptoms. I'd recommend an immediate lobectomy to drain the pleural fluids.
We're going to preform surgery in mid-flight?
The captain has allowed us use of the crew's cabin. Sterilized gowns and operation tools have been prepared, as well.
...We really don't have a choice...
Once we land, he can receive more permanent treatment... But for now we have one objective:
- Drain pleural fluid from inside the patient's lungs.
- Use ultrasound to find where fluid has accumulated, and drain it.
Understood. Let's hurry.
Let's begin the emergency operation!

Operation[]

The operation concerns packets of fluid located within the patient's lung. Find them with the ultrasound, excise, drain, and close the wound with gel. If the fluid is left unattended for too long, inflammation will occur and must be treated.

This simple operation is complicated by turbulence. The first instance of turbulence is demonstrated in a mid-op cutscene. From then on, you are given appropriate warning of incoming turbulence. Do not use any tools on the patient while turbulence is occurring, or it will create a laceration and count as a Miss. If you have any un-drained pleural fluid when turbulence happens, it will spill all over the place and cause more inflammation.

This operation is very lenient with mistakes in Under the Knife as you have to work as fast as you can to get the S rank. Second Opinion offers no margin for error, so bust out the Healing Touch to ensure minimal interruptions.

Special Bonuses[]

UtK[]

  • No Healing Touch
  • Operation complete before 5 jolts
  • Inflammation remained below 10
  • 3 COOL's earned

SO[]

  • No mistakes: 1000
  • Operation complete before [7/5/5] jolts: 500
  • Inflammation remained below [10/6/3]: 300
  • Completed with [120/180/210] left: 200

Operation Rank[]

UtK[]

  • S:5200~

SO[]

  • C:~5999
  • B:5700~6199
  • A:6200~6599
  • S:6600~6799
  • XS:6800~

Getting XS in SO[]

The best you can do is work safely and swiftly enough to avoid mistakes. You only have enough time to treat three pockets of fluid before turbulence occurs. With thirteen pockets of fluid to drain, a pace of three at a time should get you to finish before the fifth jolt.

Miscellaneous Dialogue[]

Failure - UtK
No, close him up! We need to wait for additional support!
Failure - SO
No, close him up! We need to wait for additional support!
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
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