First, you don't have to deploy a sausage in west palm to come up away from the flag...you can listen to hear boats in the area. It is fine for people to deploy from underwater, but this pales in comparison to listening and looking, first.
Pleasure Boats and fishing boats do not look for divers...we are not even there, as far as most are concerned.
If I come up from a recreational duration dive, away from the dive flag -- I am not going to waste my time deploying a float... I am going to do my stop at 10 feet, then when ready, I am going to listen....when I don't hear any approaching boats, I will surface fast, spin around and look for oncoming boats....Doppler shift works great underwater....you really can tell alot about what is happening on the surface, before you poke your head up.
If I was really smart, I'd be coming up by the flag someone was pulling...since we all know that is not always who I am

, the listening and looking behavior is what keeps me safe for when we could not be part of a larger group, or couldn;t be bothered to tow a float.
Once I am up, if I am a long way from the boat, I will deploy a sausage or my Halcyon Surfmat, to make it easier for the boat to find my buddy and I.