I was pressed for time on the last post. Here is more complete information. With altitude, especially the altitude of this incident, the difference in pressure
at any specific depth is not that important. What needs to be considered is the
change in pressure with a change in depth. The key idea is that water weighs the same at any altitude, so the deeper you are, the more water weight is a factor in total pressure, and the closer you are to the same pressure as sea level. In contrast, the closer you are to the surface, the more air pressure is a factor in total pressure, and the farther you are from sea level pressure. This means that t
he change in pressure, particularly as you ascend, is greater at altitude. Almost all of the difference occurs in the shallowest 30 feet.
In terms of DCS, assuming the diver has been at the altitude long enough to have reached equilibrium before the dive (and that did happen here), the important thing is that when the diver is at depth, the diver is on-gassing at nearly the same rate as sea level. As the diver nears the surface, though, the pressure is much less, especially when the diver reaches the surface. That means the difference in tissue pressure and ambient pressure is greater, calling for more care and time in the final portion of the ascent. Computers will take that into account.
In terms of buoyancy, the same thing is true. During the final 30 feet or so, in accordance with Boyle's Law, there will be a greater expansion and contraction of gas in a BCD or drysuit with a change in depth.
How much difference? The air pressure at Lake McDonald is about 0.9 atmospheres, or 90% of sea level. Let's compare the difference in buoyancy between freshwater at sea level and freshwater at that altitude when a diver ascends from 34 feet (1 ATM of freshwater). The following equation (Boyle's Law) will show how a volume (call it it one liter) of air will increase over those 34 feet.
Sea Level:
1L * 2 ATA = XL * 1 ATA
2/1 = 2 liters at the surface.
Lake McDonald:
1L * 1.9 ATA = XL * 0.9 ATA
1.9/.9 = 2.11 liters at the surface
That's not a whole lot of change over 34 feet. You would have to be one heck of a diver to notice the difference in buoyancy.