Recommendation for areas to consider:• Check potential damage to medical gas plumbing within the walls.• Check potential damage to medical gas plumbing underground or not readily visible.• Contact the chamber manufacturer for recommendations.• Coordinate with the facility maintenance and engineering personnel.• Conduct evaluation and clearance of the monoplace or multiplace chamber(s) prior to initiating hyperbaric operations.

Also, when a tremor is felt, I recommend the chamber operator remove themselves from between the chambers, and then terminate the treatment/s once the initial tremor has stopped. This way you have the patients removed should additional tremor be present…aftershocks.