NetDoc:
...they were significantly over breathing their regs giving them the feeling of an OOA. Once a diver feels they can't breathe, they are going to bolt.
A steady stream of bubbles may be the only outward sign given by the victim.
That's true. Overbreathing your regs can feel like you're OOA.
When I did my O/W three years ago, all morning, I had to clear my mask frequently, and it was difficult, but I didn't know why. It almost never leaked without a hood. I had practiced in the pool with the thick gloves - but unfortunately not the hood.
In the morning, I had taken my puffer as suggested by my doctor for cold dives (40F at 20 feet here). On the way to the second dive site, I had been in a car that had dog hair in it, which I am allergic to and can trigger my asthma. I had forgotten to take my puffer in the afternoon, and had left it in the hotel room, but I felt fine.
I was kneeling on the bottom waiting for my turn to do the CESA, and I had adjusted my mask strap, and kept having full floods. I did the mask re & re and repeatedly cleared it, to no avail. As soon as the water exited, it gushed back in again. I had the bright idea to exhale even deeper and faster, and then take a quick breath in, and do it again, trying to beat the flow of water. :shakehead A very capable DM noticed my difficulty, and put her hand on my arm. I felt comforted as she looked into my mask and tried to adjust the seal, but nothing worked. Then the instructor tried, but he couldn't fix it either. I had been very calm throughout, but now it was getting more and more difficult to breathe. I signalled "up", but they continued to try to adjust my mask. Now I couldn't get ANY air out of the reg, and I had nothing to exhale. I signalled "out of air" because that is exactly how I felt, and I was going up, whether they were coming or not. The DM held onto me and prevented me from bolting to the surface during our excruciatingly slow ascent. I felt my lungs expand painfully and I thought they were going to explode. I tried to exhale, but it wasn't working. The surface surprisingly brought no relief. They pulled out my reg, took off my BC, undid my wetsuit jacket, towed me back to shore, and I still couldn't breathe. I could only inhale/exhale extremely shallow and rapidly for the next two hours.
That instructor never spoke to me about the incident. The instructor that I had in the morning spoke to me while we were waiting for the other divers to finish, and he was gentle about it, but he couldn't understand why. He even asked me if I wanted to try again, and I said no, I was done for the day, which was completely unlike my personality, but I didn't have my puffer and still could not breathe properly. I realized after taking the Rescue Diver course many months later that I probably should have received oxygen.
The next day, I remembered my puffer, had to clear my mask fairly often, and at some point we figured out that it was the hood that was pushing my mask down, and needed to be trimmed. If I stopped pushing the hood back, it would stop pushing back down and breaking the seal at the bottom of my mask. I did the dives without any further incidents. At home, I trimmed the hood and tried the mask clearing and re & re with the gloves in the LDS pool, and did it successfully immediately. Then I did it and the CESA in O/W with an instructor a couple of weeks later, and got certified.
Sorry for the long story, but I felt that the details were necessary to understand the situation. Nothing would have been obvious to other people except repeated unsuccessul mask clearing. They may have noticed a steady stream of bubbles signifying a lot more exhaling than inhaling or rapid breathing, either way, overbreathing the reg. It had been so many years since I had an asthma attack, that even I thought at the time that I had hyperventilated or that something was wrong with the reg, not that I had an asthma attack.
Just so you know, once the hood was trimmed, I never had another problem. I carry my puffer with me, and have never had an asthma attack again.