So after reading this whole string of postings, here is my question:
What has the gear got to do with this injury?
This is a lung expansion injury caused by not exhaling while ascending. A lung expansion injury is just as lethal with a regulator in your mouth, as without. All of the rest is simply fluff. Ascents with a breath coming from compressed air (from a submarine, a diving bell or a scuba tank) all require an open air way when surfacing.
It is simple. If the CO2 in the victims blood caused him to have an overwelming desire to breath in mid water, without the gear the victim might panic and bolt to the surface causing the air embolism. With the gear, he could stop the asscent in mid water and take a breath from the regulator. Avoid panic and avoid the sudden preasure change associated with a race to the surface.
Jay