An emergency and alarm lamp with a video camera comprises a lamp head, a lamp house, and a lamp casing. The lamp head is a metal head with a general screw interface or a bayonet interface that can be fit on a lamp holder of a general filament lamp. The lamp house is provided with a rechargeable battery, a manual/auto controller, a speech module, a speaker, a direct current converter, a controller, a power-cut inductor and a display for battery capacity. A hole is positioned on the central of the lamp casing, and a gas sensor is provided below the hole. A plurality of LEDs are arranged on two PCBs provided on the left and right sides of the lamp casing, respectively. A red LED flasher is arranged on the each PCB and covered with a transparent shield. Two human body detectors are arranged at the left-most end and the right-most end respectively. Between the two transparent shields, there is a filter in which there is a video camera.