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Here's a short walkthrough of the hospital:

- after getting caught, get through the pediatric ward and the others rooms until you reach the cafeteria.

- Once you get to the bridge area, seek a corridor guarded by a stationnary guards. There's a few way to distract him, the pmost obvious one being pushing  a button in the adjascent room.

- Once you pass the guard, up the stair you can open a door in the small room that will lead you to the upper level of the big control room. Acctivate the terminal to open up the office.

- Go back to the bridge area, go through it to access the office

- In the office, you'll find in a small room a tech access ccard that will open up a door that will lead to the vents.

- The vents allow you to access yet another upper pathway in the big control room and open the door to the orthopedic ward

- In the orthopedic ward, follow the way and you'll get the croutch skill, that will allow you once you got back to the vent area to slip through a pipe and escape


I left over a lot of optionnal stuff to do, but here's the critical path. Hope that'll help you !

what is the name of that item to get the crouth skill. I left the hospital without that skill. And what is the next step for this game?

Strange that you skipped it. The item is called Kneepad and you have to use it to gain the skill ability. 

The public version end just after the hospital, stay tuned for the next major release for the follow up.