Caduceus Database

Story[]

The team finally arrives at Master Vakhushti's research room, who welcomes them due to their ties with Cynthia and Stigma. Markus resolves to eradicate Stigma, while Vakhushti hails it as "new life" for a new world that would be founded on the chaos it causes. Markus notes that Vakhushti is heavily infected and prepares to operate. Over the radio, the rest of Caduceus lends their aid, and it's now a collective effort to defeat the final strain of Stigma and end it once and for all.

Conference[]

Briefing Dialogue
I've contacted Caduceus! We've sent them the research data we found as well.
📞 ...I've taken a look through the data. This is one troublesome Stigma. He's named it... "Cardia". Could it have been named that because that's where it attaches itself? It means "heart".
The heart...
📞 Since there are Stigma that can cause secondary infections, we can't ignore any types of Stigma. We can only predict what may be triggered by the death of its host... But we should prepare for the worst.
...I won't let that happen.
We have to completely remove all traces of Cardia from the heart.
📞 Can all of you hear me?
Director!?
📞 Caduceus will do everything in its power to exterminate Cardia--no, all Stigma, everywhere. I'm sending staff to prevent secondary casualties through infections to you immediately.
📞 Hi, Elena! We have a large number of skilled nurses ready to go, too.
📞 You don't have enough equipment there, right? We'll prepare some for you, as well.
📞 All you need to do is concentrate on your operation, just like any other procedure.
📞 Dr. Everett! Stop chit-chatting with them and prepare the equipment for transport!
...Everyone...
...How encouraging.
Yes... We're not the only ones here fighting. Doctor, I'll do my best as well. Let's put an end to Stigma!
[Selection: Markus Vaughn]
I don't regret the decisions I've made...I will eliminate Stigma!
[Selection: Valerie Blaylock]
Cynthia...I'll stop him for you. Let's begin the operation!

Operation[]

Cardia is the final Stigma strain and the final boss of this game. Do not use your Healing Touch until the very end of the operation.

You start by working on the membrane that Cardia has over the heart. Gel pieces of the membrane to soften it so you can excise and extract them. You can do it one square at a time for maximum chain, or remove multiple squares' worth of membrane in a single block to save time. There are a few glowing red squares that must be removed first - if Cardia touches these squares the patient's maximum vitals will decrease. You cannot remove any pieces of membrane that Cardia is standing on, but Cardia occasionally teleports on and off the operating field to give you a window of opportunity to extract the last piece of membrane.

After fully extracting the membrane, Cardia will create a new one, undergoing stress each time the membrane reforms. You must remove the membrane a total of three times to advance to the next stage.

Once Cardia sheds its shell, the real battle begins. It becomes vulnerable to the laser, but also turns a lot more mobile and attacks more aggressively. It will periodically create lacerations (sometimes one that is haemorrhaging) before performing its signature attack. It will dart across the heart and deposit several red tumors before releasing a purple slowly-expanding ripple. If the ripple touches a tumor it will rupture and damage the patient's vitals, so extract all the tumors before that can even happen. Cardia stays still while radiating the ripple, giving you a good opportunity to deliver a lot of laser damage to it.

When Cardia's taken two OK's worth of laser damage, it gets even more aggressive, sometimes creating five or six lacerations in quick succession. Keep the patient's vitals up whenever you can to minimize risk of sudden death.

When you've done the third OK of laser to Cardia, it will go berserk and deposit a large ring of tumors on the heart. It will then move to the center of the screen and radiate its ripple. This is the moment to use the Healing Touch. As Markus, you will be given enough time to extract the ring of tumors before blasting Cardia into oblivion. As Valerie, the patient will be able to tank the tumor explosion - your Chain will break, but you're already at the end of the operation.

Special Bonuses[]

  • No mistakes: x1.3
  • Completed with [240/300/320] left: x1.2
  • MAX CHAIN of at least [90/120/150]: x1.2
  • Tumors burst ≤[5/4/2] times: x1.3

The "Tumors burst" special bonus does not count the final ring of tumors at the end of the operation.

Operation Rank[]

Rank Easy Normal Hard
C <3600 <5900 <8700
B 3600~3799 5900~6199 8700~8999
A 3800~3899 6200~6499 9000~9199
S ≥4000 ≥6500 9200~9499
XS - - ≥9500

Getting XS[]

Don't rush. The 150 Chain bonus will come naturally as you work through the operation. Extract the membrane carefully and try to avoid getting a Bad on your suturing technique in the second half of the operation.

Miscellaneous Dialogue[]

Failure
📞 S-Stop the operation! Please wait for backup!
Trauma Center: New Blood
Characters
Caduceus Markus VaughnValerie BlaylockElena SalazarIrene QuatroKanae TsujiJustin EverettRobert CromwellIsabella VazquezCynthia KasakovLeslie Newman
Montgomery Memorial Miles HooverMarcy Bloom
Concordia Lloyd WilkensLuc RousseauFrances Chen
Others Leonardo BelloGuy DavidsonHans NilsenMaria EstradaPresident MorenoMaster VakhushtiLeland PhoenixKidman
For minor characters, see: Minor Characters
Episodes
Tutorial Operations Operation Pointers 1Operation Pointers 2Operation Pointers 3Operation Pointers 4
Chapter 1: Northern Lights PrologueIn a Remote TownMontgomery MemorialSnowstormSorcery of SalvationAn Aging HospitalAwakening
Chapter 2: Concordia's Secret An Icy WelcomeThe PacemakerDependable PairStigmaLost in the Flames
Chapter 3: New Surroundings A Special AssignmentQ&ACollaborative ResearchCursed BurdenThe Deputy Secretary
Chapter 4: Miracle Surgery Money TalksGood SamaritansForced AppearanceShowdownStudio Emergency
Chapter 5: Darkness in the O.R. Face-OffMisfortune StrikesFade to BlackCoercionNo EscapeMutationEndgame
Chapter 6: Jungle Steel An Urgent MeetingCulurumaAn Ailing VillageCuluriumThe Heat of BattleSigned in Blood
Chapter 7: Tragic Highlands The Rose's ThornsStrike ForceIdentity LossWeapon DepotThe Lady of the CastleMaster VakhushtiEpilogue
Challenge Operations Challenge 1Challenge 2Challenge 3Challenge 4
X missions X-1: CheirX-2: SomaX-3: OpsX-4: OnyxX-5: BrachionX-6: Cardia