Bob DBF
Contributor
The medical gas environment is an inherently cleaner and more highly regulated one than diving. Oxygen fills are regulated by the FDA and OSHA. No blending takes place and fill whips are dedicated to 100% oxygen
Aside from what you stated, from what I could find the portable bottles used by the public are limited to 2216# (some at 2015#) service and the largest one is 24 cuft. In addition valves are specific to the gas, and size of container, so you cannot physically connect an air device to an O2 bottle, or a HP tank to an LP tank. It is harder to make a mistake if you are prevented by physical interlocks.
Now if these procedures and interlocks were instituted in tech diving, it would probably kill the sport. On the other hand, the accidents would stop.
Bob