Thanks for all the info. I need to do some reading on these units.
I really liked the ability to bug captains verbally on VHF with the old Nautilus. Or just a straight up VHF radio. If I get separated from the dive boat or go overboard from a ship at night (my other use case for carrying it) the most direct, effective, quick rescue surely is yelling at my own crew. "HEY ***HOLES TURN AROUND, YOU FORGOT ME!" is much more useful than setting off a DSC alarm. DSC's are ignored and silenced as a matter of course on a lot of boats, especially boats with good antennas in busy areas that pick up multiple false alarms every day.
Am I right in thinking that the non-satellite units just activate a DSC alert? Or do they do something better than that?
I guess range is an issue, not much line of sight with a tiny VHF antenna at water level. So a satellite beacon is better if rescue is any meaningful distance away. But with those satellite things there are so many intermediary steps I would worry that rescue might never come, or would take a very long time to get the message, confirm it, and start searching. Not fun in cold water.