Ominous Clouds

Ominous Clouds
暗雲
Previous Episode	To Live On
Next Episode	Sinner
Game	Trauma Center: Under the Knife 2
Episode	2-4
Patient Info
Name	Pierce, James
Height	170cm
Weight	82kg
Vitals	50/60
Summary	Burns throughout the throat. Treatment of the burns and retrieval of the capsule are necessary. Skin grafts must be transplanted to the affected areas.
Operation Info
Surgeon	Derek Stiles
Time Limit	5:00:00

Ominous Clouds is the fourth episode of the second chapter of Trauma Center: Under the Knife 2.

Story

As the team is discussing the progress of PGS treatment development and Adel's training, a news broadcast reports that the Secretary of Department of Health has been poisoned. Derek is summoned to the main office to discuss the Secretary's condition, and is chosen to perform the operation.

Conference

Briefing Dialogue The patient is suffering from 2nd and 3rd degree burns in his throat from ingesting corrosive poison. The affected area expands from the top of the throat, down through the esophagus. There are two objectives in this operation: - Treat the burns with skin grafts. - Extract the poison-filled capsule. I'm sure you’re familiar with it, but we'll be using a procedure called autografting. This means we'll be obtaining the skin grafts from the patient's own body to use on the affected area. Thanks, Angie. Let's get the operation underway!

Operation

This operation introduces burns, although you will be working on the throat, which is an uncommon operating field.

Start with draining away the poison. You will need to spend a little more effort than usual draining everything away. This then exposes the burnt tissue. Inject the coolant and excise the necrotic tissue, and clear out the blood pool underneath.

Now, several squares will appear at the sides of the operating field. Inject the yellow preparation fluid to convert these squares into donor skin, which can be cut out and attached to the burn site. You only need four squares to cover the site, then apply gel to secure the donor skin. Act quickly, or a blood pool will form and cause all un-secured donor skin to fall off. Scan the throat with the ultrasound to locate half of the poison capsule, then make a cut and extract it to proceed to the next step of the operation.

Pan downwards with the magnifier and scan around for the other half of the capsule and extract it. Do this quickly or the capsule will spill and create a new burn wound. Otherwise, you just have two burn wounds to work on. Patch them up and the operation will be complete.

Special Bonuses

• No misses: 600
• Completed with [150/180/210] left: 600
• Blister occurred <[4/3/2] times: 400
• Capsule content not spilled: 400

Operation Rank

• C: <2500
• B: 2500-3599
• A: 3600-4399
• S: 4400-4899
• XS: ≥4900

Getting XS

After extracting the first half of the capsule, activate the Healing Touch so that you can feasibly locate the remaining half of the capsule and work on the other burns with minimal interruptions.

Miscellaneous Dialogue

Failure Derek, I have Dr. Clarks standing by! Please let him take over!