Hello Plus1987,
Thank you for reaching out to Apple Support Communities.
If you turn off Call with Hold and Release or Call with 5 Button Presses, you can still use the Emergency SOS slider to make a call. We were able to find this:
"Change how you call
On iPhone 8 or later, your iPhone can automatically call emergency services. When Call with Hold and Release is turned on and you hold the side button and one of the volume buttons to make an emergency call, your iPhone begins a countdown and sounds an alert. If you release the buttons after the countdown ends, your iPhone automatically calls emergency services.
When Call with 5 Button Presses is turned on and you try to make an emergency call, your iPhone begins a countdown and sounds an alert. After the countdown ends, your iPhone automatically calls emergency services.
When Call Quietly is turned on and you try to make an emergency call with one of these options, any warning alarms and flashes will be silenced.
To turn these settings on:
- Open the Settings app on your iPhone.
- Tap Emergency SOS.
- Turn Call with Hold and Release, Call with 5 Button Presses, or Call Quietly on.
If you turn off Call with Hold and Release or Call with 5 Button Presses, you can still use the Emergency SOS slider to make a call."
More details can be found here: Use Emergency SOS on your iPhone
You can also leave feedback for Apple regarding this by going to Feedback - iPhone - Apple
Cheers!