PfcAJ
Contributor
That's what happens upon decompression from a dive in your blood. There's more nitrogen dissolved than your blood would normally be able to hold. It's a super-saturated solution. Fortunately there's no good nucleation points around, so the nitrogen stays in solution. The only points where it can come out of solution is in your lungs: you exhale it. That's off-gassing. However, if you decompress too quickly, the amount of super-saturation becomes too great and nitrogen starts coming out of solution without proper nucleation points. You've got DCS.
Thats not completely accurate. Asymptomatic microbubbles are very common even in rec profiles. The pulmonary capillary bed filters the bubbles out and you exhale the excess inert gas. This kind of deco is ok, and doesn't cause a problem in most folks. PFOs and bounce dives can allow bubbles to pass around or through (respectfully) the capillary bed and cause DCS symptoms. Of course, overloading the cap bed is bad and can produce the 'chokes', a type 2 DCS symptom.
One of my favorite decompression sayings - Measuring with a micrometer, marking with chalk, and cutting with an axe.