Abstract: Devices and methods of using a personal emergency reporting system device is described. The personal emergency reporting system (PERS) device wakes up based on timing, manual activation or an accelerometer in the PERS device detecting an abnormal condition. The PERS device measures the orientation and correlate and sends statistics to a console. The PERS device determines whether a predetermined threshold has been met to determine whether a fall event has occurred or whether to enter a more active monitoring state. The PERS device also determines whether it is appropriate to transmit an alarm to a central monitoring station via the console and transmits the alarm if desired.