Hi guys,
I'm trying to wrap up an article I'm working on for UWS this evening, so will keep my response short.
This was NOT a cave diving incident. The diver was an OW diver with a single tank (AL80, I believe). I'm not positive, but I believe his buddies were the two divers that were less than 5' away. They all appeared to be part of a larger group that had just finished a dive and it's my belief they were leisurely floating on the surface waiting for a turn at the stairs when his BC failed, but the two other divers were heavily engrossed in conversation.
As for the comment about not going to the hospital, I agree and was shocked that he declined transport. Secondary drowning can be a serious concern; for those that don't know, your lungs have a mucous lining that can get washed away by water during a drowning, once it's gone they can get inflamed and weep fluid into the lungs causing you to drown on your own body fluids --- ewww.
Daedalus is spot on when I said "ask for help." Just ask someone to pay attention to you even if you think it'll be OK and no risk of anything going wrong. For instance, I always ask my buddy to have eyes on me when I do a valve drill even if I'm only doing it in 3' of water.
As to the comment about "it's not always the ones your with" (I'm paraphrasing the dude with the great first name that begins with K) -- that is 100% truth. I've managed to pull off four "rescues" in the last five years and only one was someone I was with. My most memorable one was when I was on vacation trying my hand at stand-up paddleboarding, and failing miserably, when I heard someone shout "help, help, I'm cramping and can't swim!"
As for me, once I was able to pass him off and he began to regain consciousness I asked if I could be relieved to focus on my class. He was in good hands and I was able to give a report to the surface crew after.
BTW, my student completed his Cave 1 training yesterday.