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.
| Monitor | Reading |
|---|---|
| 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.
| Site | kV | mA | Time |
|---|---|---|---|
| Skull | 3 | 7 | 1 |
| Chest | 7 | 3 | 1.2 |
If the X-ray button does nothing
The computer and the X-ray machine have separate power controls. Check the machine’s lower-left POWER switch and its On indicator, not just the camera screen. Confirm the correct Site and all three values in the table, then wait for Patient Skull - Aligned or Patient Chest - Aligned on the monitor before pressing the green X-RAY control. After both scans, collect the printed films and place them on the Surgery light box.
Several players overlooked the power switch; others in the same discussion still reported failure after checking it. These are operation checks, not a confirmed software-bug repair. If they fail, record the screen, platform and menu build rather than assuming a full restart will fix your save.
3. Collect the three medicines
Each drug is in a different part of the medical center. For the Records Room clue, go upstairs to the northwest office on Chapman Ward’s first floor and inspect the notice board beside the computer. The note gives 2605 for the Records Room downstairs. A recent player looking for the last medicine confirmed finding the clue after being directed to that upstairs office. This medicine search is separate from the later 5353 call for the basement intubation kit.
| Medicine | Location |
|---|---|
| Tensobromide 11 mg | Pharmacy Store, Victoria Ward ground floor |
| Dextracyclate 2.5 mg | Bay 6 infusion machine, Chapman Ward first floor |
| Hydroxalene 3 mg | Records 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.
| Medicine | Rate |
|---|---|
| Dextracyclate | 15 |
| Hydroxalene | 7 |
| Tensobromide | 8 |
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?
Look on the notice board beside the computer in the northwest office on Chapman Ward’s first floor. The note gives 2605; use it at the Records Room on the ground floor to reach Hydroxalene.
REFERENCE RECORD
