Inside is a series of angled blocks above sharp blades. Move to the back of the first angled block, just inside the room on the left.
Jump straight up to grab the top of the block.
Pull up, and let Lara start to slide down the other side of the block just briefly.
Before she slides all the way into the blades, press and hold Jump + Action to leap over the blades onto the second angled block directly ahead.
Continue holding these buttons and Lara should spring off each of the second block...
...then the third...
...and then grab the square column ahead.
Pull up and collect a save/power-up crystal, a large medi pack, and a box of shotgun shells from the ledges.
Drop down to the floor, taking care not to fall into the blades. Exit the room and retrace your path along the river to get back to the climbable wall. Climb back up to the start of the level.
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