If your Apple Watch Series 8, Apple Watch Series 9, or Apple Watch SE (2nd Generation) detects a severe car crash, it can help connect you to emergency services and notify your emergency contacts.
If cellular and Wi-Fi coverage are not available, and your iPhone 14 or iPhone 14 Pro or later is near your Apple Watch, Crash Detection notifications to emergency services may be communicated by the Emergency SOS via satellite system, where Emergency SOS via satellite is available. See the Apple Support article Use Emergency SOS via satellite on your iPhone.
For more info, see:
Manage Crash Detection on Apple Watch - Apple Support
and the 'iPhone and Apple Watch models that work with Crash Detection' section in:
Use Crash Detection on iPhone or Apple Watch to call for help in an accident - Apple Support