Introduction Why should each hyperbaric unit have a prohibited items assessment/checklist? The unit safety program is the foundation of every hyperbaric medicine service. The safety program provides guidance in order to ensure that the risks and hazards associated with hyperbaric oxygen therapy are identified and eliminated. In certain circumstances, the risk can not be eliminated (e.g., removing a wound care product), and mitigating measures must be taken to reduce the risk potentia

The NFPA recommends that hyperbaric facilities utilize the NFPA Risk Assessment Algorithm for assessment of dressings and items that have not been evaluated or deemed safe for use in the hyperbaric chamber. However, several challenges (as described above) prevent widespread use of the NFPA Risk Assessment Algorithm. The Go No-Go Risk Assessment Tool combines the NFPA Risk Assessment Algorithm and the Burman Risk Scoring System. This combination of the two approaches and a user friendly digital interface provide the hyperbaric facility with a robust go/ no-go documentation and risk mitigation tool. This topic provides step-by-step instructions on how to conduct this risk assessment process.

INTRODUCTIONBackgroundSafety should be the foundation of every hyperbaric oxygen therapy (HBOT) program.  It is known from documented hyperbaric disasters that taking the time and effort to perform safety checks is paramount to the delivery of safe HBOT. REFIn January 2025, there was a monoplace chamber fire in the United States resulting in the death of a 5 year old HBO