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Silent Hill: Townfall Surgery Puzzle: Vitals, X-Ray and Pumps

Solve The Patient in Townfall: vitals 70/40, pulse 160 and 80% SpO2, pager code 7103, X-ray settings, medicine locations and infusion rates 15, 7 and 8.

Quick answer

Enter vitals of 70 systolic, 40 diastolic, pulse 160 and 80% SpO2. Open the X-ray room with pager code 7103, scan the skull at 3 kV, 7 mA, 1 second and the chest at 7 kV, 3 mA, 1.2 seconds. For the 88 kg patient, set Dextracyclate to 15, Hydroxalene to 7 and Tensobromide to 8, then call 5353 and fetch the intubation kit from the basement.

On this page
Patient weight
88 kg
X-ray door (pager)
7103
Records Room
2605
Elevator call
5353

1. Record the vital signs

Three monitors around the bed show more readings than you need; only one value of each type is valid. The laptop explains which readings to ignore: blood pressure outside 70 to 110 mmHg, pulse outside 40 to 160, and oxygen under 75%. That leaves the values below.

GameRant lists the pulse as 162, while VGC and PowerPyx give 160. Because the laptop rule rejects anything above 160, 160 is the reading that fits. If your monitor shows something different, apply the laptop rule to what you see.

Valid vital-sign readings
MonitorReading
Blood pressure (green)70 systolic / 40 diastolic
Pulse (yellow)160
Blood oxygen (red)80% SpO2

2. Take the skull and chest X-rays

A nurse pages you the code 7103 for the small door at the back of Surgery. In the X-ray room, the X-Ray Dosage Table on the laptop by the bed gives the settings. Turn the machine on, choose the site, enter the values, then move the camera until the screen confirms the target is aligned before taking each scan.

X-ray machine settings
SitekVmATime
Skull371
Chest731.2

3. Collect the three medicines

Each drug is in a different part of the medical center. The Records Room needs its own code.

Medicine locations
MedicineLocation
Tensobromide 11 mgPharmacy Store, Victoria Ward ground floor
Dextracyclate 2.5 mgBay 6 infusion machine, Chapman Ward first floor
Hydroxalene 3 mgRecords Room, Chapman Ward ground floor (code 2605)

4. Set the infusion pump rates

The whiteboard gives the patient’s weight as 88 kg. On the computer’s Medication Dosage Table, 88 kg falls in the 81 to 90 kg column, the third one across. Load each syringe into a pump, press SET RATE, enter the rate and confirm with READY PUMP.

Infusion rates for an 88 kg patient
MedicineRate
Dextracyclate15
Hydroxalene7
Tensobromide8

5. Fetch the kit and intubate

Call 5353 from the reception phone to bring the elevator, press B for the basement and take the Medical Intubation Kit from the storage room table. Back in Surgery, move the catheter to each flashing point in turn; the controller vibrates when you are on the sweet spot. Hold the trigger to insert.

Common questions

Is the pulse 160 or 162?

Enter 160. The laptop says pulse readings outside 40 to 160 are unreliable, and VGC and PowerPyx both give 160.

Where is the Records Room code?

The code is 2605, entered on the Records Room door on the Chapman Ward ground floor.

REFERENCE RECORD

Sources used for this page