I am but a lowly instructor. Engineer by trade. Background in chemistry. Ex EMT. ......
BUT:
I teach my students, and drill into their head, that if they can't properly demonstrate an ESA (just 1), from 20 feet, then they can pass everything else in the course - and I will fail them.
Why? If a student gets DCS, it is fairly easily treatable. However, if they're in an OOA, and noone is around, their only choice is an ESA from depth. And whether or not they remember the guy's name for the gas law that might just kill them, the physics of the matter is that if they don't keep an open airway, and exhale the whole way up, there's a pretty good chance of an over-expansion injury. No ride in the chamber is going to fix that.
So, we do practice horizontal ESA's in the pool, but we do it for real at the lake. I have the student's take turns doing this (I don't do 8 people, in rapid succession). I also use an assistant, and our ratio is 1:4.
Like it or not, if your OOA and no buddy is around, you've got no choice but to swim for it. The key thing is that if you don't "remember" to exhale, then damage is going to occur. The deeper you are, the more the damage.
I'll let the MD's and know-it-alls rip this one up, but the physics of gas expansion doesn't change. I will continue to teach ESA's from 20 feet. And I will continue to explain to my students why I don't do them all at one time.