A problem in my life, but one I do think about. I work a couple days a week at 13,600ft. Weekend dive? Going to the summit on Monday? None of the standard references I have found address this extreme. How long does it take to flush the N? Is 24hrs enough? I have done a dive on Sunday morning and gone to the summit on Monday without problem, but it is generally something I avoid doing.
Sort of off topic: Table 9-6 in the USN Dive Manual is what I've used as a reference, but it only goes to 10,000 feet.
I believe local operators will routinely urge a 12 hour interval before driving home to Hilo after a single dive in Kona (or vice versa) due to the altitude change while driving through Waimea or Volcano (and will recommend NOT driving over Saddle Road).
While this is certainly conservative and very prudent advice, many divers for many years (me included) have used considerably shorter surface intervals, depending on the dive profiles, in line with the recommendations in Table 9-6.
But, there is a
huge difference between the highway elevations in Waimea and Volcano and the observatories on Mauna Kea, and for "typical" Repetitive Group Designators you might have after a single dive (G or H), the minimum might actually exceed 24 hours.
I'm just guessing/estimating, based on the values for G and H groups, for 10,000 feet, which are 17:27 and 19:18 respectively. The SIT jumps considerably for each 1,000 feet of altitude, and does not appear to be linear.
Back on topic: So, be careful about driving to Maune Kea or Haleakala after diving, even after an overnight surface interval.
For visitors, I'd recommend the visit to Haleakala or Mauna Kea at the
beginning of their vacation, then diving afterwards.
Best wishes.