Trauma Team
Specialist XS Guide/Walkthrough
(and everything else you could ever want to know about this damn game)
May 25, 2010
Version RANK XS
By: S.A. Renegade
Email: renegade@scathingaccuracy.com
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=== Table of Contents ===
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=== Version History ===
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=== Introduction ===
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=== General Tips ===
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=== Walkthrough: Legitimate Operations ===
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-CR-S01 - Frozen in Time
-Maria Torres - Foul Mood
-Hank Freebird - The Big Guy
-Tomoe Tachibana - Insecure Smiles
-CR-S01 - Uninvited Guest
-Maria Torres - Maximum Annoyance
-Hank Freebird - Time For Trouble
-Tomoe Tachibana - Moment of Zen
-CR-S01 - History of Fear
-Maria Torres - Mournful Hero
-Hank Freebird - Love in the Ground
-Tomoe Tachibana - Marionette's Lament
-CR-S01 - Waking From Terror
-Maria Torres - Hesitant Spirit
-Hank Freebird - Broken Heart
-Tomoe Tachibana - The Healing Warrior
-CR-S01 - Blade of Resolve
-Maria Torres - Desperate Rescue
-Hank Freebird - I Want To Believe
-Tomoe Tachibana - Resolution
-CR-S01 - Waking Heart
-Maria Torres - So Begins Death
-CR-S01 - Stolen Memories
-Hank Freebird - Spreading Infection
-Tomoe Tachibana - Chloe's Change
-Hank Freebird - Friends
-Tomoe Tachibana - Despair
-Tomoe Tachibana - Time For Rejoicing
-CR-S01 - Twisted Rosalia
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=== Walkthrough: Filler Missions ===
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-Gabriel Cunningham - Signs of Anguish
-Naomi Kimishima - Locked-Room Mystery
-Gabriel Cunningham - Blazing Darkness
-Naomi Kimishima - Wandering Girl
-Gabriel Cunningham - Moving Heart
-Naomi Kimishima - Behind the Lies
-Gabriel Cunningham - The Simplest Truth
-Naomi Kimishima - Crime of Passion
-Naomi Kimishima - Seeking Atonement
-Gabriel Cunningham - Proud One
-Naomi Kimishima - Demons and Death
-Naomi Kimishima - Blue Carpet of Death
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=== Doctor Medals ===
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-CR-S01
-Maria Torres
-Hank Freebird
-Tomoe Tachibana
-Gabriel Cunningham
-Naomi Kimishima
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=== Conclusion ===
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Version History
-RANK XS
The guide is more than complete. All the operations have been XS'd, all
the filler missions have been covered, all the doctor medals have been
found. What you'll now find in this guide is everything you could ever
want to know about Trauma Team.
-1.6
Mm, only five filler missions left now. Not very many of their medals
left either.
-1.2
Ok, started covering the extra filler missions and their respective
medals.
-1.1
Alright, I've covered the doctor medals for all the operations now.
-1.0
All operations are FINISHED now! XS and everything. But don't think
we're done just yet. Oh no... the main part of the guide may be finished,
but we ain't done just yet. Not quite.
-0.9
Finished up to Despair. Only 2 operations left now.
-0.8
Finished up to Stolen Memories. Not very many operations left now.
-0.7
Finished up to Hank's fifth operation.
-0.5
Got up to Hesitant Spirit.
-0.3
Got up to Maria's third mission.
-0.2
Started the guide. First few missions are up as well as the
introduction. Still a long ways to go.
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===Introduction===
==================
What be happening my piggs in tha trough! Welcome to my newest guide!
This one's for Trauma Team. But you already know that. Like my Second
Opinion guide, the purpose of this guide is to get XS ranks in all the
operations. Why? because getting XS rank in every operation is the only
way to play the game and truly appreciate it. This guide is written
assuming that you're playing on Specialist mode, because this is the
only mode where you can get the XS rank. Just so we're all on the same
page, to unlock Specialist mode you have to beat the game once on
Resident. Beating it on Intern might work, but who can say for sure? Not
me 'cause I'm never touching that. Anyway the main purpose of the guide
is getting the XS rank in every operation, however, it also tells you
what to do in all of them, so you CAN use this guide as a more general
walkthrough if you so desire, though a lot of the tips given throughout
might be a bit of... overkill for simply passing the operations.
In fact, some of this shit might be TOO detailed. Some people might get
annoyed at how I drone on and on about things that're obvious. But
whatever. Fuck you guys. I'll be whatever I wanna do. You don't like it
you can get out. So yeah. In this guide you'll find my morbidly detailed
instructions of what to do to get that XS. But in addition to the guide
and tips present therein, I also offer you videos demonstrating how to
get the XS in every operation. You can find these videos and the guide
in its entirety on my personal website www.scathingaccuracy.com.
Specifically, at
http://scathingaccuracy.com/article.asp?guide/2010.05.27-S.A._Renegade
As of this writing I haven't done Specialist. This game is a lot of fun,
though I am disappointed that they listened to the imbeciles who said
Trauma Center wasn't "realistic" enough and took out the guilt/stigma
style operations as those were always the most fun. Still, the
fundamental aspects are still intact, so it's still an awesome game.
But like I said, the REAL fun of this game is going for XS ranks. That's
why this guide focuses on that. Playing the game on Resident? That's just
the precursor to the real deal!
That's not all you'll find in this guide, however. No, this guide ALSO
covers the filler missions that require zero skill, as well as all of
the doctor medal challenges. So, I suppose you could call this guide
complete, even if its main purpose is to get the XS ranks.
Let me just say that my love for this series can't be understated. In
fact, in my mind, not only is Trauma Center one of the best things to
ever happen, it's also the only game that truly gives the Wii a purpose.
When I say I'm disappointed I say it out of the utmost love. The masses
who pushed for these changes to remove the most fun operations and the
healing touch were never true fans. They just don't get it. They're akin
to people who complain that Ace Attorney isn't how a real court
functions. Hey, newsflash, morons: real courts are BORING. In that same
way, the people who asked for all these things to be removed in Trauma
Team were basically saying "We want less fun".
But hey, not all is lost. What IS still in there seems sound. Now then,
will you join me in this journey? I'm sure it'll be fun! And who knows?
Maybe I can help you.
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===General Tips===
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The golden rule when it comes to XSing this game is practice, practice,
practice. This guide aims to help you in this endeavor, but like most
action games, no amount of tips and no amount of knowledge can ever
substitute actual experience. So get in there and do stuff. Get
comfortable with the tools, with the wiimote, with the nuances of the
game. You should be so used to it that you can switch between tools
without even thinking.
Generally speaking, I recommend using the B button in favor of the A
button. In fact, you should never press the A button unless you're forced
to, such as when using the forceps or doing Hank's operations.
Do not use the wiimote jacket or any other accessory of that kind. If
you're doing something that requires precision, hold the wiimote near
the top part rather than the bottom, place your thumb around the area to
the left, slightly bottom-left of the d-pad and upper left of the A
button and grip firmly with it. In my experience this affords greater
control. You should grip with the tip of your thumb so that you're not
actually pressing the A button, but if you have to, you can simply bring
the rest of it down and easily press it with the joint between the
proximal and distal phalanges while still maintaining the grip.
When using tools, sometimes it's a good idea to keep the control stick
HELD DOWN in the position you want. This not only makes it so that you
switch to that tool instantly as soon as people are done talking/a
transition ends, but it also makes it less likely that it slips when
moving back to the neutral position. Obviously this shouldn't be done if
you're going to use a certain tool for an extended period of time, but
it certainly helps when you're quickly switching between different ones.
Do NOT leave the Trauma Team disc inside the Wii after you're done
playing and turn it off. Eject it and put it back inside the case.
This is so important and people overlook it because they're lazy. The
thing is, leaving the disc inside the console might be fine with your
360 or your PS3, but on the Wii it can cause disc read problems. This
results in things like longer loading times and slightly reduced
framerate which can negatively impact the movement of the pointer and
the timing on certain things, and by correlation your performance,
possibly without you even noticing. This isn't a problem exclusive to
Trauma Team since I've seen it happen in at least one other game. If
you notice that loading times seemed to have gotten longer or that
music isn't starting immediately like it should, eject the disc and
then put it back in. This should fix the problem.
For Hank's operations, most of the time you don't have to use the
nunchuck at all. Furthermore, his operations usually require more
precision than the others. Sometimes it can be a pretty good idea to
use both your hands to keep the remote steadier and to achieve better
control. Especially when it feels like you're starting to tremble a lot.
Keep your elbow free. If you're sitting normally in a chair (not a
stool. And if you're sitting on a stool... man why you be so ghetto?),
your elbow may be pressed on the back. You might THINK this would
be good but it's not. It slightly hampers your movement because you're
restricted to only your forearm. Sit a bit to the side so your elbow can
freely move back and forth. In this way you can use both your forearm
and upper arm to move the pointer, which is just natural. Also, try not
to be too far away from the TV.
For Tomoe's operations, you know how in gears of war leaving the camera
sensitivity on default is the equivalent of pasting a post-it note on
your back that says "Please shove a shotgun up my ass"? Well, the same
thing applies to Endoscopy, so make sure that the camera sensitivity is
set to max before you do anything.
One of the beautiful things about this game is that very few things are
out of your control. Whereas in more traditional action games there are
a lot of things happening, not all of which you might see, such as the
classic fireball of doom from offscreen, in Trauma Center everything
happens onscreen. Obviously when you use the magnification tool to look
around not everything is onscreen, but even then you know what is
happening and what will happen. There is very little of what I call the
random bullshit factor. You are aware of everything. When you fail, try
to see what you did wrong. Try to see where it is that you can improve.
Look at my videos and try to see what you're doing differently and how
this can affect the outcome.
Always try your best to stay calm. This is the most beneficial state in
which you can play the game. Getting agigated or angry will only lower
your skill. The problem is that adrenaline, or epinephrine, is a fight
or flight hormone. Basically it prepares the entire body including the
muscles for emergency actions such as running or fighting. But it does
not prepare the muscles for precision work of the kind you need to
succeed in this game. Quite the opposite. It gives you what I call the
jitters. This isn't quite as much of a problem in most games because it's
not going to affect how you press buttons. But it can be crippling in a
game where you have to keep your arm steady.
This is why keeping a calm mind is so important. There are many methods
you can use to help calm you. When you feel overwhelmed, take a small
break, just a few minutes is fine, stand up, walk around a little, stare
out the window. Surf the net, read a little. The benefits of doing this
are actually two-fold: not only does it help calm your mind, but also
your wrist. It's no secret that prolonged use of the wiimote causes
quite a bit of wrist pain. Even more if you suffer from carpal tunnel
syndrome. Resting for a few minutes in between retries does wonders to
help prepare you for the next operation. In a related  note, it's also
possible that your hands can get deathly cold while playing the game,
especially if you live in a cold place. This can hamper you a little, so
I recommend washing them in hot water every now and then. This might
only be a temporary solution but it helps and gives you an excuse to
take a quick break.
Sometimes there are some operations that are so long that your wrist can
get very tired before they're over. In these situations, pausing the
game and resting for a few seconds or minutes isn't a bad idea.
If you are very tired or need sleep, it's probably also a good idea to
do so, as it can negatively affect your performance. You want to be
calm, but you also want to be alert. You don't want to lean too far to
either side.
When you fail, try not to blame outside forces. This is a psychological
defense mechanism that manifests in a surprising amount of people. It
might make you feel better, but it tends to hinder improvement. I can
guarantee that everything in this game is fair, balanced, and reasonable.
In fact, Trauma Team in general is much too lenient in my book. If it
were up to me it would be way, way harder. So don't blame your failures
on the game. Don't say "The hit detection is off," or "It's random," or
"The wiimote isn't good enough". Instead say "My hand slipped,"
"I wasn't fast enough," or "I haven't practiced enough". Only by
accepting responsibility can you strive to change what has gone wrong
before.
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=== CR-S01 ===
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=== Frozen in Time ===
Special Bonus:
-Miss  < 0 times
-Cool >  7 times
-Operation completed in 90 sec
-Blood pool formed  < 6 times
Aight, you ready for this?! Let's get that XS! This operation isn't too
hard but it'll still probably take you a few tries since it's the first
one and we're fresh outta pussy mode so we're in a totally complacent
attitude, what with how easily we've been coasting through everything
up till now. Hopefully the rest of the game isn't that easy huh?
So. There are three things you gotta keep in mind for this operation.
Firstly, the time limit. It's 90 seconds and it's pretty strict, so we're
gonna have to be fast and shave time in as many places as possible.
Secondly, you have to get cools in everything. Everything. If you get
even a single good, you will not get the XS so this is important. Unlike
previous Trauma Center games, vitals are irrelevant. The fourth special
bonus is also irrelevant. It's too easy and you're going to get it every
time, so just ignore it. Finally, of course it goes without saying, but
don't get any misses. if you do, it's over. Just retry that noise.
Unlike previous Trauma Centers, you can't hit the skip button before the
operation has started. The hell is up with that? It's a problem because
having to press that button all the way down there forces you to change
the position of your hand on the wiimote, and it costs precious seconds
to readjust. Fortunately there's a way to avoid this. Don't press skip
at the start. Let Hank say his first line, and then press A to bring up
the tutorial screen. THEN press the skip button while the tutorial screen
is up. Skip will activate, but the tutorial screen will have stopped time
and it won't go away until you press A, giving you plenty of time to
readjust the position of your hand.
Now, hold the stick in the position of the stabilizer and keep the
pointer hovering over the spot where the stabilizer bottle will appear,
and once you're ready, press A to get that tutorial out of the way and
begin. As soon as that happens, fill up the syringe and quickly inject
all of it into the patient. You don't have to fill it up completely, but
if you get too little you won't be allowed to proceed, so make sure you
get a good amount. 1/2 to 3/4s of the syringe should be safe. As soon
as you've finished pumping in the stabilizer, the dotted line for the
lobectomy will appear. So what you want to do here is first switch to
the antibiotic gel and spread it from right to left across the line once,
then quickly switch to the scalpel and make the incision from left
(where the pointer should already be) to right. This'll allow us to shave
a tiny bit more time off.
Now we're inside the patient's heart. Have the control stick pointed to
the ultrasound while the screen is moving in, and then start press A
(or B) on the center of the heart. It'll take a few presses, but
watch the area while you're doing it and as soon as you see the syringe
icon come up, that's your cue to quickly switch to it because the yellow
vial has now been made available. Fill the syringe with it and quickly
inject it into the shadow. If you're too slow the shadow AS WELL AS THE
VIAL will disappear. In which case just restart. But anyway. It's not
necessary to fill it all the way but if you don't get enough nothing
will happen so make sure you pump in a good amount. Once you do that,
the incision line will appear. No need to use any gel on this one, just
switch to your scalpel and cut through the dots in one stroke, if
possible. If you miss a dot it's no biggie, just go back to it quickly,
but make sure you don't release the button until the incision has been
made, even if you have to go back.
When that's done, switch to the drain because three blood pools will
come out. We gotta drain 'em. What you want to do here is drain the
whole thing in 2 shots. Because two pools will always be close to one
another, place the drain in between them so you drain them both at the
same time and then drain the remaining one. This'll help shave off some
more time. Make sure you have the A button held down the entire time
while using the drain. Then, when the last pool has been cleared, don't
release the A button! Quickly switch to the forceps. If you keep the A
button held down, you'll be able to use the forceps by only pressing the
B button, which will allow you must greater precision and control than
having to press both A and B! That's a hot tip from me to you. Now.
You'll have to grab the wound from both sides to close it. I like
grabbing the right side first but it's up to you. So grab the right side
and yank it to the left, then grab the left side and yank that to the
right. You don't have to be delicate or anything, just do it fast.
When that's done, you'll have to suture it. THIS is the part where you
can shave the most time off if you can suture fast. BUT, you also have
to make absolutely sure that you get the cool. Here's a few tips.
First of all, even though the line is slightly curved to the right,
this is just a trick. You are not supposed to suture along the wound,
as one would of course assume. To get that cool, you should suture as if
both ends of the wound were connected by a STRAIGHT line, and not the
curved line the game shows you. To get the cool for these wounds you
should make around 7 passes with the sutures, but don't worry because
there's a lot of leeway. Generally speaking I like to go with more
passes than necessary so I usually make around 10. Make sure that you
suture VERY fast. Don't count the number of passes, just go with what
feels right and it should work out if you've practiced enough and have
gotten a subconscious feel for how many passes are necessary. If you
haven't, then keep trying until you do! Remember the proper suturing
technique: Do it by snapping your wrist right to left as you move your
arm top to bottom. Also make sure you stay within the imaginary
straight line connecting the two ends of the wound.
There's a second shadow that we have to take care of. However, now that
the yellow vial is available, there is no need to use the ultrasound!
In fact, I order you to not use it. It's just a waste of precious
seconds. What I recommend doing from here on out is to MEMORIZE where
the shadows will appear so that you can inject them without having to
search for them. This next one is on the left side of the heart. Inject
the yellow juice into the general area where it's supposed to be to
make the incision line appear. Don't worry, the area is pretty huge so
there's a lot of leeway for where the game will accept the injection
without giving you a miss. As usual, if you DO somehow get a miss,
just restart the operation.
Anyway, make the incision, drain the blood, close the wound and suture
it up just like you did the last time. I don't need to repeat myself
on this right? Just look at the previous paragraphs if you already
forgot what to do, you god damn amnesiac. Ahem. Anyway. When you're done
with that, there will be a LOOOOOONG lull during which nothing happens.
You'll have to wait here. Inject stabilizer on the patient while you're
waiting and get his vitals all the way to max. You'll still have to wait
a long time even after doing this so uh. Go make a sandwich or som'n.
Kidding. You CAN actually switch to the ultrasound and wave it around
fast to decrease the waiting time. Who knew. Either way, while you're
waiting, make sure to have the pointer right above the tools because
this is where the next thing you have to use will pop up. It's the HAND!
As SOON as it appears press A on it to activate it, then move the cursor
over to the center of the heart, slightly to the right. Press A there
and hold it down for a second until the yellow vial appears (who was the
jackass who took it out?!). When it does, fill the syringe and inject
it into the area you were palpating just before. This'll make the
incision line appear. You know what to do! Same procedure.
When that's done, there'll still be two more shadows to take care of.
As I said before, you should memorize their locations so that you can
inject them WITHOUT palpating. One is on the left side and the other is
on the top right side. Choose either one and take care of it before
moving on to the next one. You CAN technically do them both at the same
time but there's no need for that, plus, an extra blood pool will form
if you do it this way. So just take 'em one at a time. Same as before.
As always, make sure you get a cool EVERY single time and make sure
you don't miss. If you fail in either of these just restart.
That'll be the end of it. But don't relax just yet! We still gotta close
up the patient. This last suturing job will be horizontal, unlike the
previous ones, which makes it harder and slower. Why? Because snapping
your wrist up and down just doesn't feel as natural as left to right.
So you'll probably do this one slower. But don't worry, if you've done
everything correctly up till now you should have plenty of time
remaining! So just take your time. This one requires around 7 passes,
just like the previous ones. Remember to stay more or less within the
red area while doing it, as well as within the left and right points of
the opening. Do it right and make sure to get the cool, then switch to
the antibiotic gel and spread it multiple times on the incision area.
Don't keep the button pressed the entire time though! You have to the
release and press the button again at LEAST once to do it properly. Keep
that in mind. Keep applying the gel until you get the ok, then grab
the bandage. This is the last step and you have to do it RIGHT. If you
don't get the cool here you will have failed so take it slow if you
have to. The trick to getting said cool here is to make sure the bandage
covers the whole line BUT don't go any farther than that. That is to say,
start from the left point where the line begins, and then end it at JUST
the very end of the line without going too much past it. You can do it
vice versa if you want but whatever.
And that's it for the first mission! If you did things properly you
should have gotten all 8 cools and finished with more than 20 seconds
to spare. I'm sure you can even get that down to 30 seconds to spare if
you try hard enough buuut it's not necessary so whatever. As long as
you did these things your score should be above 9000 points which will
give you the XS. If it's below 9000 you will have failed.
If you wanna see my video of how to XS this mission, go to
http://scathingaccuracy.com/article.asp?guide/2010.05.27-S.A._Renegade-partc1
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=== Maria Torres ===
====================
=== Foul Mood ===
Special Bonus:
-No misses
-No burns worsened
-Cool >  8 times
-Gauze not thrown away automatically
Ok, this operation is ultra short so it might SEEM like it'll be easy
but you have to be speedy gonzales to hit the time limit for the XS
so it'll probably take a few tries. You'll have to shave time off in as
many ways as you can and know exactly what to do at every point. If you
hesitate too much you probably won't make it. But don't worry, if you
follow my tips you'll get it no problem.
Like I said before though, this operation is short so it's almost
impossible to get tired before it's over. Just like the first CR-S01
mission, I recommend using the tutorial trick here:
Unlike previous Trauma Centers, you can't hit the skip button before the
operation has started. The hell is up with that? It's a problem because
having to press that button all the way down there forces you to change
the position of your hand on the wiimote, and it costs precious seconds
to readjust. Fortunately there's a way to avoid this. Don't press skip
at the start. Let Maria say her first line, and then press A to bring up
the tutorial screen. THEN press the skip button while the tutorial screen
is up. Skip will activate, but the tutorial screen will have stopped time
and it won't go away until you press A, giving you plenty of time to
readjust the position of your hand.
Before getting rid of the tutorial screen, position the cursor on the
bottom-right part of the screen where the gauze will appear. This will
allow you to grab it as soon as possible once you press A. However. Keep
in mind that it takes a fraction of a second for the gauze to become
available so don't jump the gun either. Wait about 0.3 seconds and then
grab it with A.
Now, as you can see there are 3 blood pools on this guy. Keep in mind
that a single gauze will only absorb two pools of blood. It cannot
absorb three. That means you will have to use two for these pools. First
absorb the single pool on the right. Don't bother with the other two.
When it has been fully absorbed, quickly grab a second gauze from the
bottom right and then place it between the two pools on the left two
absorb them at the same time. This'll help you save some time. It's
important to switch the gauze after dealing with the single pool without
touching the other two because if you absorb the other ones with the
same gauze you run the risk of soaking it and losing the fourth special
bonus.
Once that blood has been dealt with, you'll automatically move to the
bottom part of the torso where you'll be able to see two burns. Have
the control stick pointed up for the antibiotic gel and as soon as you
regain control, hell, even before, start spreading the gel back and forth
over both burns. BOTH burns. Not one first and then the other. Both at
the same time. If you take them both individually you won't make it.
Also remember not to hold down the button the entire time while applying
it. You'll have to release the button and press it again at least 2 times
before you're given the ok.
Once you've gotten the ok on both, quickly switch to the forceps and
grab the synthetic membranes from the tray on the left. Place them one
right after the other on both burns. Do it fast but make sure you don't
get a miss. Remember proper forceps technique: Make sure you have the A
button held down the entire time when you've finished using the gel.
Then, when it comes time to pick up the synthetic membranes, don't
release the A button! Quickly switch to the forceps. If you keep the A
button held down, you'll be able to use the forceps by only pressing the
B button, which will allow you must greater precision and control than
having to press both A and B! That's a hot tip from me to you.
After placing both membranes, quickly gel over them. This time it'll only
take a single pass or two to get the ok. When that happens, very quickly
switch to the tape. We want to tape over these two membranes fast BUT
it's important that you get cools in every single one or else you won't
get the XS. It's not too difficult though. The trick to getting cools
here is to get the tape all the way from one end of the membrane to the
other without going over TOO much. Just a little. There's some leeway
so don't worry, but ideally if you're only going to tape one membrane
you want to have 80% of the tape on the membrane and only 20% outside.
10% on either end. In this operation, however, what I recommend doing
is taping BOTH membranes with a single tape. It's not too hard and it
will help save time. Simply move the tape from the top right corner of
the top membrane in a straight line all the way to to bottom left corner
of the bottom membrane. You'll get the cool for both and will only have
had to apply one tape.
Now the view will automatically shift to the patient's left arm. The game
won't let you continue until you use a shot of stabilizer so before you
even regain control have the stick pointed towards the syringe. As soon
as it appears fill up the syringe 3/4s of the way and then pump it
wherever you want. It doesn't even have to be on the patient. Unlike
previous Trauma Centers you can just use it on thin air and it'll still
work. Remember to pump ALL of it in. If you don't use enough, the game
won't let you proceed and you'll have to do it again, losing a lot of
time in the process.
After you finish the injection, hold the control stick towards the gel
and begin applying it back and forth over both burns. This'll be just
like the two previous burns. You know the drill. Gel, membrane, gel,
tape. The screen will then switch to the patient's right arm. You'll
have to secure a blood transfusion. This is probably the most dangerous
part of the operation so watch it! First gel over the spot. It doesn't
take much gel at all. Just apply a bit for a fraction of a second and
then immediately move the cursor to the bottom right where the needle
will be. Grab it with A then CALM DOWN. Make absolutely sure that you
jam it in on the green dot. This is the easiest part to fail on if you're
not careful. That green dot is not lenient at all. You'll need New Blood
levels of precision to hit it, so don't rush this part. Or, actually,
go ahead and rush it if you want. I mean this operation is less than
a minute long. It's not like you'll lose much if you have to start over.
It's up to you. Either way, once you've put the needle in, grab the
bandage on the bottom right with A, then quickly press and hold A on the
circle that appears to the right of the arm. Don't worry here, you can't
get a miss if you somehow don't hit the circle. When you do, make circles
with the remote. Just go wild and spin it as fast as you can, you can't
get a miss here. My recommendation for doing this is to make the circles
counterclockwise if you're right handed like me and to make them as
small as possible so you can complete them faster. It should take you
less than a second to do it. Alternatively, you can just shake the
wiimote up and down, though the difference between that and tiny circles
is blurry.
You'll now move on to the second patient. His vitals will be ridiculously
low but do not, I repeat, DO NOT use any stabilizer. If you've done
things correctly up till now you can treat him without wasting time
raising vitals at all.
There are three burns here. Spread gel evenly across all 3 of them, then
quickly place the membranes but be careful not to get any misses. Gel
over them and then switch to the tape. You'll have to use 2 tapes
here. Get the top two burns with a single tape from right to left and
then get the bottom one from top to bottom. That's how I like to do it
anyway, it's up to you. Once you tape the last burn she'll flatline.
You'll now start doing chest compressions. Loosen up for this. Begin
smacking down the wii remote as if you were hammering a nail with it.
Make the motions big and strong to make sure it registers. Make sure to
begin doing it as SOON as the hands appear. Hammer down each time the
hands on the screen come down. You CAN simply hammer rapidly with no
regards to anything and still get the cool but that's tiring and there's
no reason to do that when doing it in tandem is so easy.
After 5 compressions you'll get the cool. For the last manuever you'll
be doing an intubation. This is pretty easy and lenient so you can do it
fast without having to be very precise. Point the cursor on the blue
circle at the top of the tube and hold down A, then move the pointer
in a straight line down all the way to the bottom, then release the A
button, move the pointer again to the blue circle, hold down A and repeat
it. Keep doing this the 3 or 4 times it takes until the tube is all the
way in and you're done!
As long as you get all the special bonuses, which isn't too hard, and
finish in less than 50 seconds, which you should if you did everything
I told you, you will get that XS rank. It might seem tough at first but
I finished in 42 seconds so less than 50 is definitely not unreasonable
at all.
For my video of how to XS this operation, go to
http://scathingaccuracy.com/article.asp?guide/2010.05.27-S.A._Renegade-partm1
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=====================
=== Hank Freebird ===
=====================
=== The Big Guy ===
Special Bonus:
-Miss  < 1 times
-Chain >  2200
-Operation completed in 150 sec
-Treatment halted < 2 times
Aight bitches. This operation, like all of Hank's missions, is a lot of
fun, but it's no longer drop dead easy like it was on Resident
difficulty. No, this is serious business now. It's probably going to take
many tries to XS, but is all good since it's so fun. Plus I just love
how the music gets steadily better as you build a higher chain. That's
such win.
First off, let it be known that this operation is going to be very
precision intensive, so let's go over proper wii remote holding
technique again:
If you're doing something that requires precision, hold the wiimote near
the top part rather than the bottom, place your thumb around the area to
the left, slightly bottom-left of the d-pad and upper left of the A
button and grip firmly with it. In my experience this affords greater
control. You should grip with the tip of your thumb so that you're not
actually pressing the A button, but if you have to, you can simply bring
the rest of it down and easily press it with the joint between the
proximal and distal phalanges while still maintaining the grip. Grip
the remote FIRMLY to keep it steady and have your wrist bending slightly
downward. This will cause carpal tunnel pain after a while, but it keeps
your hand steadier.
We need to do this operation VERY fast so start by using the tutorial
screen trick:
Unlike previous Trauma Centers, you can't hit the skip button before the
operation has started. The hell is up with that? It's a problem because
having to press that button all the way down there forces you to change
the position of your hand on the wiimote, and it costs precious seconds
to readjust. Fortunately there's a way to avoid this. Don't press skip
at the start. Let Hank say his first line, and then press A to bring up
the tutorial screen. THEN press the skip button while the tutorial screen
is up. Skip will activate, but the tutorial screen will have stopped time
and it won't go away until you press A, giving you plenty of time to
readjust the position of your hand.
Memorize where the incision circle will appear and place the pointer
near that before getting rid of the tutorial screen. Now, make the
incision. Press and hold the A button on the blue circle at the top and
make a straight line through the guideline. The B button will not work so
don't try. Also throughout this entire operation the control stick will
be irrelevant.
Now we're inside. This operation will consist of cutting around 5
adenoma with the scalpel. To do this, press and hold A on the blue circle
and then follow the blue guideline WITHOUT straying too far from it. If
you do, you'll get a miss and it'll all be over. In which case you
should restart. But also, you get more points if you follow the blue
line closely than if you're a bit off so try to stay within it. Also keep
an eye on the yellow guideline that is moving in front of you. You're
supposed to chase after this yellow line BUT don't go too fast because
if you overtake it you will get a miss.
Now then. Here are a few general tips for this procedure:
Don't blink! And if you must blink, keep it down to a minimum, and
especially don't blink during the particularly precarious spots. Blink
several times in between each tumor.
Squint your eyes slightly. This'll help keep you from blinking.
Keep your breaths shallow. A deep breath can cause your hand to move
too much, and we don't want that. In fact, you might want to just plain
not breathe at all on the most dangerous parts.
Bite your lower lip. This might sound like a joke but it really does
increase precision! Don't ask me how. You know how to do this. Just
make a dat ass expression. For proper dat ass technique, consult Maurice
Richards, AKA Rich Boy.
This is a questionable technique, but, since the control stick is
irrelevant during this procedure, you can try to support your right
hand with your left (vice versa if you're a lefty) to help keep it
steady. It sometimes helps BUT I don't fully recommend doing this because
in my experience using one hand keeps it more loose to move faster, plus
when using both hands I end up having to move my body rather than just
my arm, thirdly, it SEEMS that when using both hands sometimes I'll make
a sudden jerky movement, which I ASSUME is because although both hands
keep it steadier, it also makes it harder to coordinate slight movements.
So yeah, try it out and see how it feels but I'll go with single handed.
You should already know this, but once you start cutting DO NOT let
go of the A button until you're finished.
Memorize where the blue circle will appear on each adenoma so that you
lose as little time as possible starting. Every little bit helps.
So ok. Let's cut up these hoes. Something you should be aware of is that
the first two adenoma are fundamentally different from the last 3 based
on their size. For the first two, you should excise them VERY fast. You
will not be able to do it fast for the last 3 so make sure you save as
much time as possible on these two small ones by being as fast as you
can. However, don't be TOO fast either because if you overtake the yellow
guideline that you're supposed to follow, you'll get a miss. Stay as
close to the speed limit as possible.
After that, you'll have to deal with large ones. As I said earlier,
these are different because they're so big. The camera will move and
follow the yellow guideline, which makes this different. First off,
know that unlike the 2 small ones, you cannot rush here. The yellow
guideline will go faster if you stay close to it (so you should), but
nowhere near as fast as on the small ones. Secondly, keep in mind that
the camera will move the cursor for you, which means that in a lot of
places you should simply "ride" the camera and let it take you forward
while you simply concentrate on staying within the guideline. Note that
if you do this, the yellow line will go faster than you and then start
slowing down until you eventually stop, so you still have to move forward
yourself a little bit every now and then.
The final adenoma is the tough one. Why? Because there are two places
where the guideline becomes CRAZY narrow, making it easy to go off.
You have to be super careful in these parts. More than any other place,
these narrow spots are where you shouldn't blink and shouldn't breathe
and should ride the camera so that it moves slower. That's about all the
advice I can give you, other than that it's just practice until you're
rock solid!
Once that's done, it'll be time to close the patient up. You'll be using
the stapler. While the screen is transitioning, grab the remote with
both hands and turn it sideways clockwise. Press and hold the A button
so that you can use by only pressing the B button. This will afford
greater control. Now watch the guideline and make minute changes to the
angle of your remote until you match it. Position the cursor so that
your remote overlaps the guideline. There's some leeway, but try to
have it overlap as perfectly as you can. Remember, don't rush on this
part! Sure, it's a race against the close for the XS, but if you did
things correctly before and shaved time off in as many places as you
could, you should still have some seconds to spare. If you get a miss or
even a good here it will all have been for nothing so stay crispy. You
don't have to change the angle of the remote AT ALL for these 5 staples,
all you have to do is change the position of the cursor (that is to say,
go down), so once you have the angle right you can do all 5 reasonably
fast.
And that'll be all! As long as you didn't miss and didn't stop, the only
thing you have to worry about is doing it fast enough so that you finish
in less than 2:20. You need more than 9600 score for the XS.
For my video of this operation, go to
http://scathingaccuracy.com/article.asp?guide/2010.05.27-S.A._Renegade-parth1
-------------------------------------------------------------------------
=======================
=== Tomoe Tachibana ===
=======================
=== Insecure Smiles ===
Special Bonus:
-No Bads
-Stomach treated in 60 sec
-Ran into wall < 2 times
-Vitals didn't fall below 15
Our first endoscopic operation! ...in hard of course. This one's actually
not all that tough. It shouldn't take very many tries to get the XS rank.
Aight, so. First let's talk posture. Endoscopy is quite different from
the other specialties so we have to change our approach accordingly.
Have your arm pulled all the way back so that your wrist is touching
the side of your torso. Lean back on your chair. That's the neutral
position. When moving the endoscope forward, you want to do it as fast
as you can and without having to back into neutral position midway if
you can help it. From the neutral position, to go forward simply hold
down A+B and extend your arm out in front of you. You can get a lot of
distance this way and very fast. Once your arm is completely extended,
you should begin leaning your entire body forward to get even more
distance. If you do this, you'll be able to get to a lot of destinations
without having to waste time retracting your arm, as we'll soon see.
Just remember that you're supposed to lean towards the sensor bar and
not the TV. Seems obvious but sometimes we may forget.
Now then, let's begin. Press the skip button while holding the control
stick in any direction. Why? Because the game forces us to do pointless
things before proceeding. Keep holding the control stick in any
direction to move your view until the game snaps you back into place.
Next, we're supposed to go forward a bit. This is a part where the things
I told you before come in handy. If you extend your arm and then lean
forward with your body you'll be able to clear the entire distance you're
supposed to in a single go without wasting any time retracting your arm.
Watch when the blue arrows change and point backwards. That's when you
stop going forward and start going back. Use the auto retract by pressing
down on the d-pad if you want to keep it easy or do it manually if you
want to do it faster.
Anyway, let's proceed. Start going forward for realz this time until
you get to the first blood pool and the game automatically centers your
view on it. Not so fast though! You still need to get a tiny bit closer
to it before the drain becomes available. Do so. Now open up the tools
by pressing C and switching to the drain. Don't press C again to close
it, just press Z immediately to begin using the tool. Be careful though,
it's not all that uncommon to accidentally have the stick slip and choose
the wrong tool and have to waste time opening up the toolbox again.
Center the view on the blue circle and drain the blood. After that, keep
going forward. It's quite a distance so you'll have to retract your arm
a few times. Plus, there's a curve in the path here and you have to be
careful not to hit the wall. If you do, restart because you've lost.
When you get to the next part with affected area, first take care of the
blood pools since you already have the drain out. Then center on the
hemorrhaging area and switch to the hemostatic forceps. Hold Z to stop
the bleeding and release it as SOON as it has stopped to get the cool.
The timing probably takes a bit of practice to get down. What I recommend
is doing it enough times that you more or less have a "feel" for how
much time is required before letting go of the button. On top of watching
of course. Remember that you need to get cools in every place where it's
possible to get them. If you get a good, just restart because you're not
getting the XS. If another blood pool has formed, quickly drain it and
let's move on.
You can get to the next affected area in one shot by extending your arm
and then leaning forward! This one requires the syringe, so center the
camera on the blue circle and choose the needle. To get the cool on these
you have to hold down the button until the bright light above the blue
medicine is as close to the yellow guideline as possible without going
past it. Remember, the one that can't go past the yellow line is the
brightest part at the top. The duller parts below that can go past it.
After treating that, another inflammation will appear a bit ahead. Move
forward and treat it in exactly the same way. Immediately after you do
that, the game will center your vision on a new blue circle that will
have appeared. It's a hidden inflammation! Switch to the spray and use
it here to reveal it, then treat it with the syringe same as always.
When you're done with that, keep going forward. We're almost up to
the stomach. You'll see the passage opening and closing. We gotta go
through it quickly while it's open but chill out a bit! The second
special bonus dictates that once we're inside the stomach, we have to
finish in less than 60 seconds. So before we go in, take some time to
raise vitals. That's because the fourth special bonus dictates that we
shouldn't let vitals fall below 15. To ensure this, you'll have to inject
at least two full syringes of stabilizer. Keep an eye on the passage
while you're doing this. If it opens after you've injected the second
one, quickly go through it. If it's still closed, then start injecting
a third one but immediately stop once it opens and go through.
Now we're in the stomach area. As I said earlier, we have to finish up