That really sucks the guy got hurt doing this stuff, i guess i take it for granted working around it all day but it is nasty stuff. I mean, i obviously did something dumb to get cancer by age 38
I've never ran much of the innershield stuff, but dual shield is amazing. You can straight up pour metal in the flat position, and stack it out of position like you are running big low hi non stop. I've done multiple 48" pipe welds in position solo in a day with that stuff before. The company i used to work for ran it in the field all the time, sometimes with a normal stick root, sometimes with a hardwire root in the shop or field if we had control of the process. From my understanding the bigger iron jobs they sometimes roll with the wire feeders, but remember stick can hold its own if you run the big rods.
My little chipper winch thing is a perfect example of why stick welding is still used today. It's being made from pipe that's been sitting outside for 20 years, sitting outside for months while i pick away at it, and if it needs to be modified no big deal, it'll burn away a bit of paint and rust no problem. It's common that we'll cut a pipe to tie into it, and it has so much hard water scale, product, rust, and mud in and on the pipe, with stick you can cut it, hit it with a wire wheel, and then do an xray weld right there with water or fire running out of it.
You can torch a bevel, smack the sharp edge with a hammer to even it up and form a small land, use a file to ream the resulting burr on the inside, and weld without a grinder. That's how fitter apprentices were broken in, once they knew you could do welds that could pass xray, on non xray work they would make you run 1 setting on your heat, and no grinder. You ran 1/8 inch 5p with 3/32 7018, or 5/32 and 1/8 on 6" and up. You do an uphill bead, scratch the slag off with a handful of rods, maybe hit a bumpy tie in a couple times with the file, then light up a low hi and damn near burn thru the whole fill pass so it burns out the slag that might have not totally been cleaned. Learn to do that and you'll almost never have a bad weld, because each pass is cleaning as you go. On downhill it's basically the same, but you are running super hot, and are whipping up and down as you go, in order to agitate the puddle and dig out the slag on the sides of the root pass, called wagon tracks. That's the true advantage to using stick for repairs, and what i mean when i say it's forgiving for real world conditions, because each pass will dig in and pull light impurities out in the slag.
When you have to weld like that, in tight spots, up in the air, in a ditch full of water and mud, a ventilated hood is an absolute nightmare. Even when I'm working in a fab shop, a normal hood is perfectly fine. I use a pancake for almost everything except heavy mig welding, and it's like it's not even there. It doesn't even have a right side to it at all, because you normally would have your right shoulder down if you are right handed when welding horizontal pipes. If my right ear is by the fire I'll turn my hat bill to cover it, and here we go.
Fumes are a concern, and you need to know what you're doing or you can get really hurt. But then again, i used to do a bunch of confined space and tank repair, where you are doing safety checklists everyday so you don't just straight up get killed, and blowers are a mandatory part of that experience to provide breathing air to even be in a space. In some confined spaces simply using a cutting torch will poison you with carbon monoxide, argon or other welding gases can asphyxiate you, product can burn or ignite with you in there, etc. Often even with the safety gear and procedures there's the understanding that you might not be able to be pulled out if stuff goes wrong, and as hard as it is the hole watch cannot go in to attempt rescue because he will likely also be a fatality. I guess everything is relative to one's own experiences.