-Flash used 1 times or less - 800
-Max chain over 35 - 400
-No mistakes - 300
-Completed with 200 left - 500
This operation is going to be conducted in 3 phases. You're going treat some wounds with limited information of where they are, so it's important that you first try this operation many times to familarize yourself with the layout of the patient, where exactly each wound is located, etc. In short, you should memorize the general location of each wound. COOLs aren't that important, but what is crucial is that you never get a BAD. This will break your chain and keep you from getting the XS.
For the first phase, no memorization is necessary. First, grab the penlight and shine it on the right side of the patient where the lacerations are. If you don't do this you will not get access to your tools. Quickly suture these three lacerations. Once that's done, grab the penlight again and move it to the bottom part where a huge laceration should be waiting for you. Drain the blood, close it up, and suture. Getting COOLs isn't so important in this operation, but remember to make many wide passes through the entire length of the laceration. Now grab the light again and move to the center where a single glass shard is. Place the light slightly off to the right of the glass shard rather than dead center. This is important, so remember to do it. Remove the shard carefully. It's only one so it shouldn't be too hard. Don't worry about getting the COOL. As long as you don't get a BAD in anything there is no problem. Just make sure you do it carefully so you don't get a miss. Once it's pulled out, apply gel over the wound it was in, and continue applying it because a scalpel line will appear there. Once the incision area has been gelled, switch to your syringe and raise vitals all the way to 80. Now perform the lobectomy. You don't need to be able to see the entirety of the scalpel line. As long as you can see the top part, just cut in a downward motion and you should get it.
Now we're inside the patient. This phase will be the same as the previous one with one exception: I want you to leave the light where it is. That's right, I want you to work this entire phase without ever moving the light. If you left it slightly off to the right of the glass shard in the previous phase, it should give you a decent view of everything you need to take care of in this phase. Right after making the lobectomy, watch carefully. If you placed the light correctly, as the screen is zooming in, you should be able to see the glass shard on the right. Once the screen is zoomed in completely you might not be able to see it anymore but it doesn't matter. That glimpse should be all you need to know where it is and pull it out. But what we're going to do first is suture the 3 lacerations on the left, because those are the ones that drain vitals the most. So keep the location of that glass shard in the back of your mind for now. You should be able to clearly see two of the lacerations on the left. Suture them quickly. Now the third one isn't visible to you, but it's right above the leftmost one of the two you just sutured. It's a horizontal laceration, so make the suture lines accordingly. It helps if you've seen its position beforehand in another retry. Don't worry if you can't suture it immediately. Just keep trying. There is no penalty for missing sutures, after all. Once that's done, we'll move on to the huge laceration. You should be able to see the leftmost end of it. This is enough. Apply your drain back and forth over the length of it. Just judge the distance. It's not too hard to do since you've already treated so many of these. Now bring the two ends together, and suture it like you did the previous one. Again, you've sutured tons of these already, so you should be familar with its length by now. Don't worry if you don't get a COOL. GOOD is fine. Now if you worked quickly, the location of the glass shard should still be fresh in your mind. Grab it. When you do, the shard will magically light up. This will make it easy to remove without getting a miss. Simply lift it upwards carefully. You're almost done with this phase. Switch to your syringe and raise vitals all the way up to 80. This is very important. The next phase can easily kill the patient if vitals aren't at max. When they are, gel the wound where the shard was.
This will bring us to the final phase. Here, the light will malfunction and plunge you into complete darkness. However, it takes about 1-2 seconds for it to go out, and you can use this to your advantage. If you left the light where I told you, you should be able to see 3 lacerations and a glass shard. As always, the lacerations are what damage the patient's vitals the most, so we want to deal with those first. If you can suture very fast, you can actually suture 2 lacerations before the penlight goes out. I recommend suturing the vertical ones since those are the easiest. Don't worry if you're only fast enough to suture 1 of them though. The few seconds before the light went out should have given you enough information to suture them in the dark. Do it quickly, and once that's done, press the camera button. It takes a little bit for the flash to go off. Use that time to inject stabilizer once. Then quickly switch to the sutures and fix the small laceration on the right, then use the drain on the huge one, clip it together, and suture it. All this should be done while the flash still illuminates everything. If you want extra time on the big laceration, you can also gauge the small laceration's location and suture it in the dark before using the camera. In any case, once the big laceration's taken care of, all that's left is the glass shard. The combination of the penlight and the camera's flash should have given you a good idea of where it's at, so just remove it in the same way you did the previous shard. Gel the wound, and you're done.
Now just raise vitals to max and close up the patient.