Emergency crash detection doesn't use satellites, only cellular. iPhone's satellite connectivity requires you to follow on-screen directions to point at the satellites which can't happen automatically.Both my Apple Watch and iPhone have crash detection which will automatically send to satellite if a cellular or wifi connection aren't available if the device sees that I'm immobile for some period of time. I crashed my mountain bike last summer but was up and moving so the watch just asked me if I was OK. If I hadn't responded, it would have dialed 911 and I'd have some 'splainin' to do...
Garmin inReach has a chunky antenna which doesn't need this kind of orientation (it just needs a view of the sky), but doesn't detect crashes.