This flotation system maintains the Sked® in a nearly vertical position in the water. It is self-righting and keeps the patient’s head completely out of water, even in rough seas. The side floats and chest pad provide buoyancy sufficient to support two rescuers in the water in addition to the patient, while the lead shot filled ballast keeps the foot end down and the head elevated out of the water. The system is available in a variety of configurations, including an option with CO2 inflatable side float logs and an empty ballast bag with hook and loop closure which can be filled with rocks just prior to use.