Hi Eric,
I have been using a combination of tools.
I have an air cut off tool (3 1/2 "), a dremel (I use the re-inforced cutting wheels, they last a little longer), a Dewalt 4 1/2 inch gringer and thin cutting wheel, tin snips, mini hack saw etc....
For tight spots, I use the dremel, other times, I use the air cut off tool. To cut my patches, I am using the Dewalt for longger straight cuts and the dremel for tighter cuts. I use the tin snips to do tight corners etc.
I was thinking about buying some air shears and will do so if I run into a situation where I think that I might need them.
I have also use an air chisel with a cutting tip to cut out sections of the floor for example. Not pretty, but it works.
So, I guess the answer is, everything in the arsenal! Be safe though and don't try using a tool that wasn't meant for the job. If it seems unsafe, then it proabably is.
Cheers,
David