Right, but I think there are many more circumstances happening of people that either may not have an Apple Watch or they may not be able to retrieve their phones in time.

I know that if I was skiing and I had on all these gloves and gear, my phone would probably be in my pocket (and it most likely would be a zipped pocket). Plus, you don't always recognize at first what is happening. While 20 seconds may sound like a long amount of time, it's really not. Sometimes it takes me 10-15 seconds just to realize my phone is vibrating in my pocket because it's a phone call and not just a bunch of texts being sent to me.

And honestly, there is not going to be that much of a difference in terms of your outcome whether 911 is called at the 20 second mark or the 60 second mark. It should just be defaulted to 60 seconds and they should have it alarm in the same way SOS alarms when it is about to call.