you are probably dead anyway.
I never understood this argument as this scenario is so extremely unlikely. If I'm diving solo, I'm diving sidemount or a twinset, not a single tank and a pony for redundancy. So if I'm unconscious, diving solo, and not dead by the time I make it to the surface, I'm going to drown anyway with the configurations I use for solo diving.
I mean in EA accidents it's actually a real possibility. Not all victims go unconscious in EA ascents, but quite often, especially when panic is involved people do go unconscious.
In that case it's always better to be face up than face down.
in the case of diving solo ofcourse you are dead, but that's the risk you accept when diving solo.
In general alot of severe accidents can be survived in the case where water does not enter the lungs.
There's a reason each organisation has a plethora of open circuit incidents where victims survive. Because unless if you dive solo, the chance of you surviving is actually quite high.
Depending on the stats 70-80% of all scuba deaths are considered 'drowning' even when it's not specifically the reason for the death, but that means in any case, getting the victim in a situation where no water can enter the lungs is atleast a good premise to follow.
I don't remember exactly and numbers will fluctuate depending on the study, but people who have AGE due to the emergency ascent will die from drowning in over 75% of the cases as well if not brought to shore.
If you take up the old 2001 DAN report for example you will see 85% of all divers who were diagnosed with Arterial gas embolism actually recovered completely from it. So to put it simply 'you're definitely NOT dead anyway'.
I know an arguement could be made, a higher percentage of divers would have died from arterial Embolisms if they had not drowned after surfacing, but that doesn't mean it's not worth trying to look for a way to keep water out of the divers lungs.
As our main cause of death, anywhere in the world seems to be us getting water in the lungs, I see only benefits in keeping someone face up on the surface, no matter the situations, what tool you need to use to get there, I don't care, you might be diving with pool noodles, a co2 cartridged mae west, a horse collar, bcd jacket, an oms bondage wing or or a dir conform wing.
If you want the hard numbers, just look up the yearly DAN-reports, the BSAC has done some good reporting on their fatalities as well and Dan did some bigger studies in the early 2000's where they focussed on a couple of hundred accidents at a time per study.