In Wald's book Quantum Field Theory in Curved Spacetime and Black Hole Thermodynamics, he discusses a similar question; he analyzes the case of a particle detector on an accelerating worldline, where the quantum field is in a state that, according to an inertial observer, is vacuum. There is a nonzero probability of a state transition, which is described as follows (I think I've got this right--I don't have my copy of the book handy to check):
* From the viewpoint of an observer who is accelerated with the detector, the detector absorbs a particle and registers a corresponding increase in energy, and changes its motion slightly as a result of the absorbed particle's momentum.
* From the viewpoint of an inertial observer, the detector *emits* a particle, and registers a corresponding *decrease* in energy and a change in momentum due to "radiation reaction".
The underlying quantum field viewpoint is that there is a state transition from the "inertial" vacuum state to the "accelerated" vacuum state (which the inertial observer does *not* see as a vacuum state), and a corresponding state transition in the detector, as required by the appropriate conservation laws. It all hangs together, but I admit it is certainly not intuitive.