Hi DaphneVioleta,
Fall Detection does use the sensors inside of Apple Watch to detect a hard fall, and can call emergency services if it is a cellular enabled device with an active plan.
See more info below.
"How to call emergency services on your Apple Watch
- Press and hold your watch's side button (the button below the Digital Crown) until the Emergency Call slider appears.

- Drag the Emergency Call slider to start the call immediately. Or you can keep holding the side button; after a countdown, your watch calls emergency services automatically.
Use Crash Detection and Fall Detection to call for help
If you have Apple Watch Series 8, Apple Watch SE (2nd generation), or Apple Watch Ultra with the latest version of watchOS, your device can call emergency services and send a message to your emergency contacts when a severe car crash is detected. Learn more about using Crash Detection on Apple Watch to call for help in an accident.
Fall Detection on Apple Watch Series 4 or later and Apple Watch SE or later can connect you to emergency services when a hard fall is detected. Learn how to use Fall Detection on Apple Watch."
Cheers!