A. rescue harness including an inflatable bladder coupled with the harness near a harness upper back portion. The inflatable bladder is held in a stored position on the harness. In one example, the inflatable bladder includes at least first and second folds in the stored position. The first fold is configured to direct inflation of the inflatable bladder along a first direction away from a harness neck area. The second fold is configured to direct inflation of the inflatable bladder along a second direction substantially perpendicular to the first direction. The first and second folds are sized and shaped to direct inflation along the first direction and afterward direct inflation along the second direction. In another example, the rescue harness includes a deflector configured to direct the inflatable bladder away from the harness neck area during inflation and after inflation of the inflatable bladder.