from our pub cellar we have up to 10 casks at a time in various stages of tapping and consuming. the job of carbonating/conditioning the cask is safe, get the beer in the barrel, prime, hammer the bung into barrel job done. when it comes to tapping it release the pressure from the cask with a hard spike and hammer, (theres a small hole that will pop out when you strike it) then replace the hard spike for a soft one (soft wooden spike acts like a air filter). then hammer the clean tap in, leave to settle.
beers in the cask, the atmospheric pressure is nowhere to be seen.