I was in an elevator a while ago when there was a ringing followed by a voice trying to sell PPI services (a regular source of spam in the UK). The emergency system was just an embedded phone.
We'd wait until the lift was totally crammed with people, call it and then ask to speak to someone we knew was in the lift!
Even luxury homes with small elevators.
Turns out the emergency system on this elevator is too an embedded phone...
We came across two on the PBX that no one could identify. Numbers not in the internal directory. No tags in the PBX terminal. Rang them repeatedly with no answer.
So we disabled them on the grounds that if they were in use we would soon get a call from someone enquiring why their line was dead. Nothing all week. Went home for the weekend.
You can probably see how this ended, and that's (just one of the reasons) why you don't route them through your PBX.
yeah, about that...