I've done lots of dives over 100 FSW with no BC or flotation device at all. It required me to kick. That was the only way to the surface. Before the BC, thousands of dives have been done in this manner. Divers today often load-up with reels, lights, cameras and other equipment and not consider the affect this has on their buoyancy. They feel it's OK or it goes unnoticed because they just push a button and it's looked after; well not if the BC malfunctions...
In the real world, if a diver is so negative at 100 FSW that he can't swim to the surface, he's overweighted. What other reasons are there? Catastrophic dry-suit flooding? Carrying an anchor? You're overweighted! He needs to dump weight or use redundant buoyancy. The diver knows that this is a possibility before he gets into the water. Planning, planning planning...
It's wise to have different weighting systems where you can dump one quickly to control your descent in the case of an emergency. Wearing proper fins, keeping in-shape, planning your dive well, diving with a competent Buddy and keeping a positive attitude (to prevent panic) will reduce the risk in case of a malfunction. Don't dive passively; be prepared to react. With depth comes narcosis; after a while it can be too late...