![]() In addition to searching for & addressing reversible causes of the pseudo-PEA, manage the profound shock state with pressors and/or inotropic support.Be careful not to prolong the pause in compressions acquire the US, if needed, for review once hands are back on the chest. POCUS during rhythm check in cardiac arrest.Compared to PEA, with appropriate care patients with pseudo-PEA have a higher rate of ROSC as well as overall survival.Pseudo-PEA is essentially a profound, low-flow shock state that often has reversible causes, such as hypovolemia, massive PE, tension pneumothorax, etcetera.Please do not hesitate to reply to me if you found another difficulty mod on the workshop so i can list it here (and even try it myself !).When managing cardiac arrest, it is important to differentiate PEA, the presence of organized electrical activity without a pulse, from "pseudo-PEA,"where there is no pulse but there IS cardiac activity visualized on ultrasound. Using something that broke the ITA economy,for example, will make part of this experience too easy to be enjoyed, and you will miss the feeling of searching for ressources and fuel. Note that almost every mod i listen are best enjoyed alone or with few mods. You can also use subs that most of the players call "OP", and still get a though time surviving : the difficulty is the same everywhere ) The Workshop link : The creatures outside are deadly enough to give you a real bad time. You will need both a very well experimented crew to survive, as the difficulty will not come from someone sabotaging. You will get Breached, Swarmed, Infested and you will constantly fight to keep enough ressource/credit to survive. A lot of stuff is modified or added, but the main focus is the difficulty : I made it unfair, yet you have tools and ressource to help you. It's a mod that try to overhaul almost anything in the game : sounds, sprite color, QoL things, new items like a backpack that can be used with a suit, guns statistics, new mission, monsters buff, and many more things. He even got a rework of the endworm ! I personnaly love the new husk creatures. They behave differently than vanilla and some of them are clearly difficult to deal with. A mod that add a lot of new terrifying ennemies. XanMonsters Creature Pack - by Benedetto Kriegor. A mod that focus of bringing the Dead Space ennemies, equipement and weaponry in barotrauma ! The mod is still in work in progress, but the creator gathered a nice community that enjoy his mod at this fullest, he even got a discord ! I barely played it, but i got some nice feedback on how the Dead Space foes are very strong and cunning. A very good trip to the old times while keeping the current barotrauma version ! The Workshop link : It also add new missions linked to the old legacy foes. ![]() A mod that focus on overhauling the ennemies spawns, as well as adding some legacy monsters that were disabled by the devs. ![]() Level Difficulty Overhaul 2.0 - by The Sky Wind. The concept of "Fuel Death" is entirely possible in ITA. Managing your supplies is essential and every ressources you will found is precious. Some monsters behave differently and you need to be aware of the increased spawn rate. Here is a list of every mods i know that increase the difficulty or provide a better challenge than the current vanilla game :
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