Trauma Center: Under the Knife
Encyclopedia
Trauma Center: Under the Knife, known in Japan as , is a surgical
Surgery
Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, or to help improve bodily function or appearance.An act of performing surgery may be called a surgical...

 simulation game developed and published by Atlus
Atlus
is a Japanese computer and video game developer, publisher, and distributor based in Tokyo, Japan, best known for developing the console role-playing game franchise Megami Tensei. The first Megami Tensei was a Nintendo Entertainment System video game published by Namco based on a trilogy of...

 for the Nintendo DS
Nintendo DS
The is a portable game console produced by Nintendo, first released on November 21, 2004. A distinctive feature of the system is the presence of two separate LCD screens, the lower of which is a touchscreen, encompassed within a clamshell design, similar to the Game Boy Advance SP...

 and is the first entry in the Trauma Center series. The game was released in Japan on June 30, 2005, in North America on October 4, and in PAL region
PAL region
The PAL region is a television publication territory which covers most of Asia, Africa, Australia, New Zealand, and most of Western Europe...

s on April 28, 2006.

Like all games in the Trauma Center series, the player is tasked with performing surgery on various injured patients. The player uses the Nintendo DS touch screen to use the available medical instruments and perform the required actions. The player assumes the role of Derek Stiles, a young surgeon who possesses a unique and rare ability called the "Healing Touch," which briefly allows him to operate exceptionally quickly and accurately. His ability leads him to work for Caduceus, an organization dedicated to researching diseases, where he is tasked with treating a series of increasingly dangerous strain
Strain (biology)
In biology, a strain is a low-level taxonomic rank used in three related ways.-Microbiology and virology:A strain is a genetic variant or subtype of a micro-organism . For example, a "flu strain" is a certain biological form of the influenza or "flu" virus...

s of a man-made disease called GUILT.

Under the Knife received favorable reviews, gaining aggregate scores of 80.31% and 81 on GameRankings and Metacritic
Metacritic
Metacritic.com is a website that collates reviews of music albums, games, movies, TV shows and DVDs. For each product, a numerical score from each review is obtained and the total is averaged. An excerpt of each review is provided along with a hyperlink to the source. Three colour codes of Green,...

. A remake, Trauma Center: Second Opinion
Trauma Center: Second Opinion
Trauma Center: Second Opinion known as in Japan, is the second game in the Trauma Center series. Second Opinion is the first to be available on the Wii, was a launch title for the system in North America and Japan, and made full use of the Wii Remote and Nunchuk attachment...

, was released in 2006 as a launch title
Launch title
A launch game, or launch title, is a video game released to consumers synchronously with the release of its respective video game console, meaning they are the only available games at the time of the console's launch. Several of these games are also packaged with the console...

 for the Wii
Wii
The Wii is a home video game console released by Nintendo on November 19, 2006. As a seventh-generation console, the Wii primarily competes with Microsoft's Xbox 360 and Sony's PlayStation 3. Nintendo states that its console targets a broader demographic than that of the two others...

 console and a direct sequel, Trauma Center: Under the Knife 2
Trauma Center: Under the Knife 2
is a surgical simulation game developed for the Nintendo DS and the fourth in the Trauma Center series. The game is a sequel to Trauma Center: Under the Knife...

, was released in 2008.

Gameplay

Trauma Center is divided into several chapters and operations within each chapter. Each operation must be completed in order to access the next one and progress through the game.

The lower screen on the DS is used to display the patient, the patient's vitals, the instruments available, and the operation field. The top screen is used to display instructions, the time remaining, the player's miss limit and score.

A typical mission requires the player to operate on a patient. During each operation, the player must keep the number of errors committed below a set limit, ensure that the patient's vitals remain above zero and keep within the time limit. If the player runs out of time, reaches the miss limit, or the patient's vitals reach zero, another surgeon will take over the operation, which will always seem to fail.

Upon successful completion of an operation, the player is ranked based on the time remaining, the health level of the patient, and a net score based on the accuracy of the operation. The total score is then ranked, with special score rankings for each operation. Rankings for these are
graded:
  • Rank S- Master Surgeon
  • Rank A- Senior Surgeon
  • Rank B- Specialist
  • Rank C- Rookie Doctor


The player may repeat any operation in Challenge Mode and attempt to earn a better grade. Three save slots are available, but only the best score is recorded for each operation.

In addition to normal operations, there are operations known as "X-missions". The X-missions are seven operations, each one containing an Extreme version of a strain of GUILT. However, the game does not notify the player about the X-missions, unlike the other games in the series. As with every game in the series, the X-missions are unlocked after beating the game once, and are found in the challenge mode, with fake records used to fill the time/score/rank slots (such as exactly 30 seconds remaining on the clock). As with every game in the series, the player is not required to complete these operations.

Instruments

There are a number of instruments available for surgery
Surgery
Surgery is an ancient medical specialty that uses operative manual and instrumental techniques on a patient to investigate and/or treat a pathological condition such as disease or injury, or to help improve bodily function or appearance.An act of performing surgery may be called a surgical...

.
  • Surgical laser
    Laser
    A laser is a device that emits light through a process of optical amplification based on the stimulated emission of photons. The term "laser" originated as an acronym for Light Amplification by Stimulated Emission of Radiation...

    - Used to cauterize objects that are too small to remove from the body otherwise.
  • Antibiotic gel
    Antibiotic
    An antibacterial is a compound or substance that kills or slows down the growth of bacteria.The term is often used synonymously with the term antibiotic; today, however, with increased knowledge of the causative agents of various infectious diseases, antibiotic has come to denote a broader range of...

    - Used to disinfect areas and treat small cuts.
  • Drain
    Drain (surgery)
    A surgical drain is a tube used to remove pus, blood or other fluids from a wound. Drains inserted after surgery do not result in faster wound healing or prevent infection but are sometimes necessary to drain body fluid which may accumulate and in itself become a focus of infection...

    - Used to remove excess fluids, such as blood.
  • Forceps
    Forceps
    Forceps or forcipes are a handheld, hinged instrument used for grasping and holding objects. Forceps are used when fingers are too large to grasp small objects or when many objects need to be held at one time while the hands are used to perform a task. The term 'forceps' is used almost exclusively...

    - Used for removal of foreign objects and tumors.
  • Hands - Used for heart massage if the patient goes into cardiac arrest, and for the Healing Touch. Also used to affix synthetic membranes.
  • Ultrasound
    Ultrasound
    Ultrasound is cyclic sound pressure with a frequency greater than the upper limit of human hearing. Ultrasound is thus not separated from "normal" sound based on differences in physical properties, only the fact that humans cannot hear it. Although this limit varies from person to person, it is...

    - Used for finding objects, such as tumors, that are hidden inside organs.
  • Magnifier
    Magnifier
    A magnifier is a device used for magnification.Magnifier can also refer to:*Magnifying glass, an optical device for magnification*Screen magnifier, software that magnifies part of a computer screen...

    - Used for zooming in and out on parts of the body.
  • Scalpel
    Scalpel
    A scalpel, or lancet, is a small and extremely sharp bladed instrument used for surgery, anatomical dissection, and various arts and crafts . Scalpels may be single-use disposable or re-usable. Re-usable scalpels can have attached, resharpenable blades or, more commonly, non-attached, replaceable...

    - Used for making incisions.
  • Sutures - Used for closing or tightening incisions.
  • Syringe
    Hypodermic needle
    A hypodermic needle is a hollow needle commonly used with a syringe to inject substances into the body or extract fluids from it...

    - Used for administering medications.
  • Bandages
    Surgical tape
    Surgical tape is a form of pressure-sensitive adhesive tape used in medicine and first aid as a bandage to hold a dressing onto a wound. It will generally have a gentle hypoallergenic adhesive, and be breathable to allow air to reach the skin. Breathable tapes like Kinesiology Tape, and other...

    - Used to bandage
    Bandage
    A bandage is a piece of material used either to support a medical device such as a dressing or splint, or on its own to provide support to the body; they can also be used to restrict a part of the body. During heavy bleeding or following a poisonous bite it is important to slow the flow of blood,...

     sutured incisions.

The Healing Touch

The Healing Touch is an ability, according to the ancient Greeks, descended from Asclepius
Asclepius
Asclepius is the God of Medicine and Healing in ancient Greek religion. Asclepius represents the healing aspect of the medical arts; his daughters are Hygieia , Iaso , Aceso , Aglæa/Ægle , and Panacea...

, the Greek god of medicine. It allows a surgeon to focus his concentration to superhuman levels in order to move extremely quickly and precisely for a limited amount of time. In the surgeon's mind, this appears to slow time.

GUILT

Gangliated Utrophin Immuno Latency Toxin is a group of deadly man-made parasites that start to infect patients later in the game, which are supposed to be "boss battles". There are seven strains
Strain (biology)
In biology, a strain is a low-level taxonomic rank used in three related ways.-Microbiology and virology:A strain is a genetic variant or subtype of a micro-organism . For example, a "flu strain" is a certain biological form of the influenza or "flu" virus...

 that the player encounters throughout the course of the game, each one representing a Greek day of the week:
  • Kyriaki (Sunday) - An arrow-shaped parasite that causes lacerations to the organs according to the direction it goes. Comes in mature and immature types. (Occurs at Episode 2, Chapter 9)
  • Deftera (Monday) - A "mobile" tumor that always attacks in pairs and often attacks two different parts of the body.
  • Triti (Tuesday) - A mass membrane with thorns at each corner which slowly petrify the organs. As the pieces of the membrane are removed, it will spread according to the placement of the thorns.
  • Tetarti (Wednesday) - Parasites that comes in three types. Create poisonous abscesses.
  • Pempti (Thursday) - A virus that creates a gelatinous fluid in the lungs or liver. When threatened, it defends itself by spawning multiple smaller bodies to cause lacerations and minor tumors throughout the lungs and liver.
  • Paraskevi (Friday) - A fibrous centipede-like parasite that makes lacerations as it is cut to be extracted. Generally is found first in the intestines while maneuvering through the other organs on a mission to invade the heart, whereupon it will kill the victim almost instantly.
  • Savato (Saturday) - A parasite that wraps a web around the heart and drains its energy as a form of sustenance. Causes damage to the heart through lacerations, some of which spawn smaller Savato bodies that attempt to feast on the heart.

Plot

Under the Knife is set in the year 2018, where medical technology has advanced such that effective treatments for previously incurable diseases, such as AIDS
AIDS
Acquired immune deficiency syndrome or acquired immunodeficiency syndrome is a disease of the human immune system caused by the human immunodeficiency virus...

 and cancer
Cancer
Cancer , known medically as a malignant neoplasm, is a large group of different diseases, all involving unregulated cell growth. In cancer, cells divide and grow uncontrollably, forming malignant tumors, and invade nearby parts of the body. The cancer may also spread to more distant parts of the...

, are available. The story is told to the player via dialogue between the characters, either presented in cutscene
Cutscene
A cutscene is a sequence in a video game over which the player has no or only limited control, breaking up the gameplay and used to advance the plot, strengthen the main character's development, introduces enemy characters, and provide background information, atmosphere, dialogue, and clues...

s or during operation.

The player assumes the role of Derek Stiles, a doctor at Hope Hospital. After the near-death of a patient due to his negligence, he encounters the scene of a car crash and ends up working on a patient with incredibly severe injuries to the heart. Just as it seems like the patient is done for, a power within Derek is unlocked, and miraculously saves the patient. The power emerges once more, and Derek saves another patient when a seemingly routine operation gets dangerously out of hand. His superiors recognize the ability. They tell him that his power is said to be that of a descendant of the Greek god of medicine, Asclepius
Asclepius
Asclepius is the God of Medicine and Healing in ancient Greek religion. Asclepius represents the healing aspect of the medical arts; his daughters are Hygieia , Iaso , Aceso , Aglæa/Ægle , and Panacea...

, and his gift is known by the same name, though is more frequently referred to as the Healing Touch. He practices his use of the ability, though is left weakened after forcing the power to activate under his own will. After performing another operation, Derek blacks out for a short period of time. Dr. Kasal advises Derek to avoid using the ability due to the toll it takes on his body, and Director Hoffman tells him to outright turn his back on the ability, saying that the responsibility is too great for him to handle. After saving Linda Reid, a teen with a strange parasite (eventually known as Kyriaki), he learns of a new man made disease known as GUILT, which is distributed by a medical-terrorist organization known as Delphi.

It is at this point that Derek decides to embrace his ability and use it to end the threat of GUILT. He then begins working for Caduceus
Caduceus
The caduceus is the staff carried by Hermes in Greek mythology. The same staff was also borne by heralds in general, for example by Iris, the messenger of Hera. It is a short staff entwined by two serpents, sometimes surmounted by wings...

 USA as their main surgeon, where he heals a young girl who has the second known strain of GUILT (Deftera). During a conference, Delphi sets a bomb with the intent of killing the doctors attending. However, with the help of Cybil Myers, he successfully defuses the bomb. After this, he flies to Africa to aid Caduceus Europe, and encounters the third strain of GUILT (Triti) in a young boy.

Back in America, Derek encounters the next strain of GUILT (Tetarti), which is only manageable after finding samples and using them to produce a few serums that are used to counteract the GUILT. Greg Kasal ends up being among those infected with the new strain, and is saved by Derek. Afterwards, Richard Anderson, the Head of Caduceus USA, becomes infected with a strain of GUILT (Pempti) that seems to be resistant to everything that is thrown at it. Eventually, Victor Niguel, Caduceus USA's head researcher, manages to come up with measures to defeat the GUILT and after much resistance, the strain is finally removed from Anderson's body. However, Anderson succumbs to the toll taken on his body and dies soon afterwards, leaving Hoffman as the new director of Caduceus USA.

Not long after this, outbreaks of Kyriaki, Triti, and Tetarti emerge and are thwarted by Derek and the other surgeons. Then, one night, a man breaks into Caduceus USA and ends up infecting Cybil with the sixth strain of GUILT (Paraskevi), though Derek manages to remove the parasite from Cybil's body. The man who broke in turned out to be Kennith Blackwell, the father of Derek's assistant Angie, and they manage to trail him back to a research lab. There, they encounter the final strain of GUILT (Savato), first an immature form within one survivor, and then the main form within Blackwell himself. Practically being death incarnate, Savato proves to be a difficult challenge for Derek, being so swift that not even his normal Healing Touch is able to let Derek deliver the final blow. Using the Healing Touch twice in succession, the Healing Touch intensifies to the point where time seems to stop, and Derek finally manages to destroy Savato.

Blackwell offers his full cooperation for saving his life and rejects Caduceus's offer of amnesty, wishing to serve out his term in prison to atone for his actions. Blackwell's information leads to a great wealth of knowledge about Delphi's operation and eventually the location of Delphi's headquarters. When Derek and Angie assist with a raid in cooperation with Caduceus Europe, they find that Delphi has been using children to incubate the seven strains of GUILT, and after curing the patients, Derek and Angie encounter Delphi's leader, Adam. What they also find is that Adam is practically a corpse, heavily infected with GUILT himself. Derek operates on all 7 strains and rids the world of GUILT. With the threat of GUILT eliminated, Derek becomes well known as the man who saved the world.

Characters

See also: List of characters in the Trauma Center series
  • Derek Stiles (age 26, Born 1992) - The main character and a surgeon at Hope Hospital. He is just beginning to realize his potential.
  • Angela "Angie" Thompson (age 21, Born 1997) - A young nurse that works as Derek's assistant. She is part German
    Germans
    The Germans are a Germanic ethnic group native to Central Europe. The English term Germans has referred to the German-speaking population of the Holy Roman Empire since the Late Middle Ages....

     and was raised by a very well-educated family.

Hope Hospital staff

  • Mary Fulton (age 32, Born 1986) - The senior surgical assistant for Hope Hospital. She is a nurse who helped Derek learn the basics of surgery. She moved away from Hope Hospital, where Angie took her place.
  • Greg Kasal (age 38, Born 1980) - The senior surgeon at Hope Hospital.
  • Robert Hoffman (age 55, Born 1963) - Dr. Hoffman was an exceptional surgeon who stopped practicing in his 40s. He's now the director of Hope Hospital.

Caduceus USA staff

This is known as Caduceus Japan in the Japanese version and in Trauma Center: New Blood
Trauma Center: New Blood
is the third game of the Trauma Center surgery simulation video game series, for the Wii. New Blood is a new installment with features not seen in the previous title, including cardiopulmonary resuscitation, a cooperative mode, online leaderboards, full voice-over dialogue and a 16:9 widescreen...

.
  • Sidney Kasal (Age 35, Born 1983) - Greg's younger brother and director of Caduceus USA, who dedicated his life to the study of clinical medicine after his wife died of illness.
  • Stephen Clarks (Age 42, Born 1976) - Caduceus' head surgeon.
  • Cybil Myers (Age 34, Born 1984) - The leading anesthesiologist
    Anesthesiologist
    An anesthesiologist or anaesthetist is a physician trained in anesthesia and peri-operative medicine....

     at Caduceus. She was previously a policewoman.
  • Victor Niguel (Age 26, Born 1992) - Head of research and development
    Research and development
    The phrase research and development , according to the Organization for Economic Co-operation and Development, refers to "creative work undertaken on a systematic basis in order to increase the stock of knowledge, including knowledge of man, culture and society, and the use of this stock of...

    . He focuses mainly on his work and its uses. He is considered a recluse
    Recluse
    A recluse is a person who lives in voluntary seclusion from the public and society, often close to nature. The word is from the Latin recludere, which means "shut up" or "sequester." There are many potential reasons for becoming a recluse: a personal philosophy that rejects consumer society; a...

     and can't stand the thought of "idiots" being near him.
  • Tyler Chase (Age 26, Born 1992) - A former schoolmate of Derek's. He tries to keep everyone in a good mood. He is secretly the "death doctor" of Cadaceus as he administers euthanasia
    Right to die
    The right to die is the ethical or institutional entitlement of the individual to commit suicide or to undergo voluntary euthanasia. Possession of this right is often understood to mean that a person with a terminal illness should be allowed to commit suicide or assisted suicide or to decline...

     to GUILT victims that he deems incurable. Derek talks him out of it.
  • Leslie Sears (Age 26, Born 1992) - One of the many nurses on staff at Caduceus. She looks after many GUILT patients, including Tyler's sister, Amy.
  • Richard Anderson (Age 60, Born 1958-2018) - The head director of Caduceus USA and Secretary of Health
    United States Secretary of Health and Human Services
    The United States Secretary of Health and Human Services is the head of the United States Department of Health and Human Services, concerned with health matters. The Secretary is a member of the President's Cabinet...

    . Died after three treatments in a short period of time from Pempti.

Members of Delphi

  • Adam (Age 121) - Born Erich von Raitenau in Austria in 1897, he was the head of the Delphi organization. He has been sustaining his life deep within the Delphi Headquarters situated on a boat in the Pacific Ocean, and has been the main culprit in helping to create the GUILT outbreak. As the leader of Delphi he believes that humans deserve the "blessing" of disease as it is what God's will and it is his quest to rid the world of doctors curing GUILT. He claimed that the GUILT virus originally came from his body before being modified by Delphi's scientists and then released into the world. However, the details of the origin of the GUILT and how he came to be in his current disease-ridden state, and how he can seem to communicate through the voice of others (Suspended Animation) are not described within the game.
  • Professor Kennith Blackwell (Age 46, Born 1972) - The father of Angie who left his family when Angie was only 8 years old. After discovering that Delphi wanted to use his own daughter in their GUILT experiments, he made a deal to join them and in return they let his daughter stay with his family. Blackwell was infected with the mature form of Savato. However, he was saved by Derek.
  • Ludwig Milan (Age 37, Born 1981) - A Delphi agent found at the medical facility where Professor Blackwell was conducting his research. He was the first victim of the immature form of Savato, which was in a developing form at that time. After he was saved by Derek, he helped create the serum that led to Savato's destruction.

Reception

In the January 2006 issue of Nintendo Power
Nintendo Power
Nintendo Power magazine is a monthly news and strategy magazine formerly published in-house by Nintendo of America, but now run independently. As of issue #222 , Nintendo contracted publishing duties to Future US, the U.S. subsidiary of British publisher Future.The first issue published was...

, Steven Grimm placed Trauma Center and its 9.0 score in the magazine’s review archive, describing the game as “fiendishly addictive”. IGN
IGN
IGN is an entertainment website that focuses on video games, films, music and other media. IGN's main website comprises several specialty sites or "channels", each occupying a subdomain and covering a specific area of entertainment...

 gave the game an "impressive" 8 out of 10, and Official Nintendo Magazine gave it 80%, while GameSpot
GameSpot
GameSpot is a video gaming website that provides news, reviews, previews, downloads, and other information. The site was launched in May 1, 1996 by Pete Deemer, Vince Broady and Jon Epstein. It was purchased by ZDNet, a brand which was later purchased by CNET Networks. CBS Interactive, which...

 gave it a 7.8 out of 10, saying that it "succeeds because it strikes such a good balance between its medical theme and its puzzler roots." X-Play
X-Play
X-Play is a TV program about video games, known for its reviews and comedy skits...

 reviewed this game and its remake and gave them both 4/5. Also, Trauma Center has an average review ratio of 80% on Game Rankings
Game Rankings
GameRankings is a website that collects review scores from both offline and online sources to give an average rating. It indexes over 315,000 articles relating to more than 14,500 games.GameRankings is owned by CBS Interactive...

, while Metacritic
Metacritic
Metacritic.com is a website that collates reviews of music albums, games, movies, TV shows and DVDs. For each product, a numerical score from each review is obtained and the total is averaged. An excerpt of each review is provided along with a hyperlink to the source. Three colour codes of Green,...

 currently ranks the game at 81%.

Music

Shōji Meguro
Shoji Meguro
is a Japanese video game composer and director who joined Atlus in 1996 and has composed music for many of their games, mainly those in the Megami Tensei series.-Biography:...

 is responsible for the game music. Despite lack of information toward any soundtracks release, there are two music tracks offered in the official site.

External links

  • North American website
  • Wikia
    Wikia
    Wikia is a free web hosting service for wikis . It is normally free of charge for readers and editors, deriving most of its income from advertising, and publishes all user-provided text under copyleft licenses. Wikia hosts several hundred thousand wikis using the open-source wiki software MediaWiki...

    has a wiki about: Trauma Center
The source of this article is wikipedia, the free encyclopedia.  The text of this article is licensed under the GFDL.
 
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