For military doctors and for physicians who work in the field of disaster medicine, the problem of wide administration of opioids during the first phases of disaster events is incredible!

In Haiti, for the first time, we had the opportunity to use the hyperbaric chamber for treatment of infections and for soft tissue injuries. We noticed also a good management of pain and for the first time we didn't have cases of opioid tolerance. By way of contrast, in the Balkans and in Afghanistan we don't have a hyperbaric chamber and we have lots of soldiers affected by opioid tolerance and bad side effects.

So, our intent is to offer a possible new strategy for a good management of pain also during disaster events when wide administration of opioids can lead to big problems.