Hi all, great thread, and also serves as a good reminder of this issue. A chamber operator in Catalina Island I was talking to this weekend mentioned that one of their technicians got a (temporarily) numb arm while accompanying a patient for treatment from San Pedro to Northridge a few years back, so this stuff is definetely real and should not be taken lightly.
With regards to a potential computer: The german company Heinrichs-Weikamp have posted on their forum that the Bühlmann model was created with aerospace applications in mind, and is valid below atmospheric pressure. They say this is clearly stated in Bühlmanns book, but my copy is in a moving box and I have to take their word for it. The old Uwatec Aladins had a wide range for altitude diving, and also used to calculate "no-fly" times, as does the current Heinrichs-Weikamp OSTC software (except OSTC4). According to their post on the OSTC forum, the Bühlmann no-fly times are based on the worst case low pressure of 0.6 bar (much less than in a passenger plane).
Having said that, Shearwater is in touch with the hyperbaric medical community, and if Shearwater is not convinced of the accuracy of no-fly predictions, that does give me pause...
One thing to consider could be breathing nitrox / oxygen on the last stop or on the surface to clear the tissues.
Great thread. I own a Shearwater Teric, and I can confirm that it seems that Teric is updating tissue loading information in real time after the dive, taking into account the current atmospheric pressure. I live at altitude, and partial pressures will converge to the saturation at that altitude after a while. I live at 3000ft, and I have also driven up to 7000ft, and even 14000ft, while watching the tissues plot and GF99, and it does update in real time.
A dive computer should update tissues in real-time by taking into account altitude in order to correctly compute tissue loading during your surface interval so that you know where the next dive starts. This is important when diving to altitude. Say, you dove at 3000ft, and then during your surface interval you spent it at 0ft (sea level), before going back to 3000ft to dive. If the computer does not take into account that you have more nitrogen in your tissues because your surface interval was at 0ft, the computer will dangerously overestimate how much you can stay under water at 3000ft during your next dive. I am not sure how dive computers normally do this, but Shearwater Teric correctly tracks tissue loading relative to air pressure during the surface interval. Shearwater Teric for instance will give you more time underwater at sea level if you live at 3000ft, because your tissues will start will less Nitrogen saturation because you live at 3000ft.
Given that Shearwater computers track tissue loading correctly relative to altitude, you could use the tissue plot and GF99 to decide if it is safe to drive to altitude. Shearwater however does not endorse this, and they should not. This is because even though the theoretical model does tell you it is safe to drive up, there is no experimental research proving that indeed following this model is going to not result in DCS. What if there are some other factors at play, such as how fast you go to altitude (flying), or how safe it is to drive up after you already have bubbles and pre-DCS from your dive? You may be ok to stay at sea level, but not ok to drive up.
In a typical recreational dive DCS bubbles would form right when you exit the water, not during the dive. The GF99 gradient is typically very low until you exit the water over the last 3ft of water. So if you develop any pre-DCS, it would be at sea level. Staying at sea level during your surface interval would not worsen that situation, and eventually your system will take care of any tiny bubbles. But driving to altitude or flying would make those bubbles bigger, potentially creating a problem. You can already see that even if the theoretical model is the same, driving up to altitude exposes you a different kind of risk than on a typical recreational dive.
That said, technical deco divers do take this kind of risks frequently. They experience high gradient factors not just as they surface, but at depth, as they push the limits so that they decompress as fast as possible at depth under water. Tech divers do push the limits of the decompression algorithms. Recreational divers DO NOT experience those kinds of stresses under water, but only a moderate stress as they surface.
Using your dive computer's decompression algorithm to make decisions about when to drive to altitude is more risky than the risks taken by normal recreational divers, but way less risky than what tech divers do. But driving up to altitude while not following the PADI / DAN recommendation
without considering your decompression status is even more risky, probably more risky than tech diving. I would prefer to use a dive computer to check tissue loading before making the decision to drive up soon after a dive, then using nothing at all.