Simulation Life & Death 1.06

In Life and Death, you are employed as an abdominal surgeon in Toolworks General Hospital. Your job is to examine patients, and diagnose their issues. A medical school is present in the building to help ensure you grow as a surgeon. Whenever you make mistakes during a surgery, you will receive an evaluation, where your mistake is discussed and hints for improvement are given.

You can rotate the staff that goes into the OR with you in the Staff room. Here you can pull up the records of the staff members available, and find further details by checking their files. This will reveal some personal issues some of them might have with other staff members, meaning you should avoid teaming up two people who have a strong dislike for one another.

Once you are satisfied, the nurse might direct you to incoming patients. You will typically start by examining their abdomen, and poking around their tummy (which is divided into 4 quadrants as far as the game is concerned. You need to click in all quadrants for a full diagnosis)). Based o your findings, you can recommend keeping them under observation (in case no pain at all is registered), medicate them (all quadrants hurt, indicating an infection), or to X-ray in cases where only parts hurt.

Using the X-ray you can determine whether or not the patient suffers from kidney stones (indicates by clusters of white dots), in which case you refer them to an urologist, or lacking kidney stones it is indeed appendicitis, meaning you'll get to operate on the patient.

The OR is likely where you will spend most of the time in the game, and the actions you have to take are actually rather realistic. You'll need to constantly monitor the patients' vitals (assisted by commentary from your crew), and be quite precise about the steps to take, as well as make incisions as careful and straight as possible.

Every step of the surgery requires rather precise clicking, and using the right instruments in the right order, while all the time, the patient might suffer a drop in blood pressure, or suffer irregular heart rate, meaning immediate action will be required.

All this combined means the actual surgeries will be rather stressful, and will require careful acting on behalf of the player.