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You've just caught your breath after about six hours of breakneck activity (excuse the reference) since you came on duty in the Emergency Room at Legacy Memorial Hospital. Before you have a chance to relax, the triage nurse bursts into your cubbyhole office bearing bad news about an accident the EMS squad has just called in. They'll be here in minutes! No time to rest, finish that donut or study up on severe trauma treatment -- you've got to move, examine, diagnose, treat -- in fact, you've got only minutes, maybe seconds, to make life and death decisions and the clock is ticking. But, no need to get in a panic yet. In Legacy Interactive's Emergency Room 2, it'll be awhile before you get to the really tough cases. The road to the top of the doctor chain in fictional Legacy Memorial is filled with decision-making, analysis, diagnostic prowess, correct treatments and essential knowledge as you work your way up from medical student to Chief of Staff. Should the road be littered with bodies instead, you can count on being out the door, stat! There are five major levels in Emergency Room 2, each dealing with specific rank and case difficulty. You'll begin your ER career at the lowest rank, medical student, and be responsible for ear and eye problems, abrasions and contusions -- simple stuff. The level of difficulty you'll face is determined by your success or failure rate of treating patients on a case-by-case basis. For each patient successfully treated, a new one appears in the waiting room with a problem from the next higher difficulty rating. All patients reflect their specific level of difficulty through a number (1 through 5) next to their names. Conversely, if you fail to handle patients properly for two consecutive cases, the person added to the waiting room will be at the next lower level of difficulty, effectively forcing you to treat lesser ailments. As your successes accumulate, so does your point total and, subsequently, your rank. The minimum number of successfully treated patients by rank that leads to promotion is five to become an intern, 18 for resident, 40 for attending physician and 65 to become Chief of Staff. Case difficulty beyond the aforementioned medical student level includes burns, dislocations, sprains and lacerations at level two and nose and throat problems, fractures and abdominal pain at level three. Tougher cases are encountered with level four trauma which includes breathing problems, chest pain and concussion. Finally, level five puts the player to the real test with gun shot or knife wounds and code blue (accident) victims. A full work-up is required for each case as you prepare your Subjective, Objective, Assessment and Plan (SOAP) "paperwork." Each element plays an important role in how the patient will be treated and runs the gamut from patient complaints in the waiting room (if lucid) to final treatment and patient discharge. Other features of Emergency Room 2 include 100 cases from which to choose (some with varying degrees of difficulty), a wide range of patient symptoms, live video clips and more than 40 medical tools. Cyber-doctors must become familiar with several locations within the hospital such as waiting, exam, imaging and treatment rooms as well as a laboratory, lounge and library.