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> and he also called his wife to let him know the watch says there is an emergency with his heart

The watch will call emergency services, then it will text your emergency contact(s) and let them know you've experienced a hard fall. I don't know exactly how, in this instance, that was then converted to a voice call.

Edit: I see in another comment that he initiated a call himself because he was conscious enough to do so.



His wife may have called him back in response to the text




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