Leading with Digital at a Top Ten Marathon w for more than 20 years 140+ Minnesota Radio Amate ve led the emergency and medical communications at dtronic® Twin Cities Marathon Erik Westgard, NY9D 9/19/13 [email protected]Volunteer Medical Communications Coordinator, Medtronic Twin Cites Marathon Red White and Boom Half Marathon http://www.14567.org
Amateur Radio and Icom D-Star supporting the Medtronic Twin Cities Marathon. How volunteer ham radio operators provide medical communications support using modern digital technology. This talk was presented at ARRL TAPR DCC 2013 in Seattle on Sept 20 2013 Erik Westgard NY9D www.14567.org
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Transcript
Leading with Digital at a Top Ten Marathon
How for more than 20 years 140+ Minnesota Radio Amateurs have led the emergency and medical communications at the Medtronic® Twin Cities Marathon
1. New York City Marathon 47,000 registered participants in 2012 2. Chicago Marathon 37,455 finishers in 2012 3. Honolulu Marathon 24,413 finishers in 2012 4. Marine Corps Marathon 23,515 finishers in 2012 5. Boston Marathon 21,544 finishers in 2012 6. LA Marathon 18,729 finishers in 2012 7. Walt Disney World Marathon 13,467 finishers in 2012 8. Philadelphia Marathon 11,553 finishers in 2012 9. Twin Cities Marathon 8781 finishers in 2012 10. Houston Marathon 7637 finishers in 2012
Medical Personnel on the CourseThe marathon has one of the best medical teams in the industry and is led by Medical Director, Dr. Bill Roberts. On average, one to three percent of every 1,000 entrants will seek medical assistance along the course or at the finish line. With that in mind, 300 medical personnel are positioned along the course and at the finish line. All medical personnel can be identified by their orange vests and all are trained to assist in medical care. A medical team will be assigned to each aid station along the course. There are also medical volunteers stationed at many of the mile and half-mile marks of the race course. Communications personnel in yellow shirts are paired with the medical volunteers to provide access to mobile medical teams and ambulance services. Seriously injured or ill runners will be transported to the nearest hospital from any of the Medical Aid Stations on the course, and well runners who drop out of the race will be taken to the finish area. Medical volunteers will have first aid supplies at every medical location.
In a declared emergencythe Incident Commandertakes over
Under normal operations, the event communications center provides radio and other channelsto support the event. In an emergency, all resources are available to the Incident Commander
Best practice:An IncidentAction Plan(IAP) is on file
Net Controls- distributedNets 1-3 D-Star data entry/queryOn-Course Med Director
Finish Line EMS Dispatch Database Net 4 (course inter-tie)Medical Ch.1 ControlMedical Director
Family Medical/Med TentBus Drop-off iPadsIP phones
Marathon Course Medical Communications 2012
Race Weekend General Principles:Yellow shirts (hams) backstop medical operations - report and notifyInjured /dropped out runner location data flows to the serverCourse tactical operations are autonomous (ICS)
Finish Line802.11g/n protocol
2-3 D-Star Uplinks802.11n/OLSR mesh link (Finish line to St Paul EOC)
Net2 Net3 Medical Tent
Family Medical
News for 2010- iPads for check in – hospital tent New for 2011 – IP PhonesNew for 2012- Mobile apps Family Medical Information
Runner tracking and situation reports – TrivnetDB in the main Comm Center at “Course Medical” Net Control – note rented UHF radios + Ham “Dispatchers” on Course and Finish medical channels
2003-2012 Medtronic Twin Cities Marathon
Finish Line Comm Ctr Net 4 Control TCM Ch1/Ch 6 (UHF) Finish area dispatch
Med Tent Med Info Tent (x6)
Amateur Radio Medical Communications Support System
PDA 802.11n(Security, MDs)
Ipad 802.11nCheck-In
Ipad 802.11nDischarge
Laptops 802.11aWin XP
Bus Drop-offStation802.11n Laptops
Trailer Linux /MySQLTrivnetdb 2.0
802.11nWeb
D-Star
Net 3+4/VoiceRamsey Cty EOC
D-Star
Net 2+4/VoiceHennepin Van
D-Star
Net 1+4/VoiceNorth Memorial
D-Star
D-Star DD IP was primary in 2008+ Com Ctr x3
Laptop 802.11gWin XP
Laptop 802.11nRecords
Mile1-19
Mile23-26
Mile20-22
Net Control
+ 6-8 carts
Six overlapping DD mode systems provide reliable, web app friendly high speed data (TCP/IP) coverage for the core Twin Cities Metro
www.14567.org D-STAR MSP 8/13 DD Mode
Ham Radio Trailers, County/State VansTrivnetdb Database +web front endID-1 Radios – data /application uplinks
ID-1 RadioUsers (remote)links to trailer
Mining ARC (Ramsey)@280 feet
90kbps 90kbps
LocalLaptopsVia 802.11g
Erik Westgard. NY9D
Linux SystemCitadel, DNAT
DSTAR Controller and Data Repeater
MinneapolisSouth (MSP, MOA)@200 feet
DSTAR Controller and Data Repeater
Linux SystemCitadel. DNAT
DSTAR Controller and Data Repeater
Linux SystemCitadel, DNAT,
St. PaulOne (State EOC, MDH)@260 feet
Linux SystemCitadel, DNAT,
DSTAR Controller and Data Repeater
MinneapolisEast (Hennepin)@260 feet
ID-1
Gateway
DSTAR Controller and Data Repeater
MPLS N @290 feet
Linux SystemCitadel, DNAT,
Packet
DSTAR Controller and Data Repeater
MNWash *Bayport @600’
ID-1
ID-1 ID-1
Icom D-Star DD Mode + DNAT
RP-1/2D
ID-1
LinuxAppliance
DNAT Other servicesPacketWebsite CitadelLinksOLSR
ID-1
Fields not in order: DCall Rcall1 G Rcall2 G SCall Payload
TrivnetdbServer
ID-1
ID-1
Ethernet
Database and or Internet
Stock DD RP unit is a simplex Ethernet bridge using callsign encapsulation. It supports oneto one for ID-1s, but multiple connects to the repeater Ethernet. If you run multiple subnets,and DNAT on the back end appliance, multiple ID-1-ID-1 user (TCP/IP) sessions are possible
With DNAT, all ID-1 users (L3) can reach the server, and each other
“G”
New Web Interface- Trivnetdb
Missing /dropped out/ill runner web runner lookup and update
Runner location only- non HIPAA
Racesafe Proposed Integration 1.0
irunsafe.com trivnetdb in
the TCM data trailer
API
Amateur Family Medical Information Tent agents (6-8)
Either a singleintegratedview or windows to both/all apps
TCM Race Timing Web
MDsMedical\admissions
Command centersQuery + updates
Events +Timestamps
Part 97 Requirements:Non HIPAA event view,API feed to trivnetdb
EMRPHRdata
Mobiledevices
MNSTPMNAUGMPLS-N
MNWASH
MPLSS
MPLSE STPONED-Star DD Mode Disaster Nodes100kb no InternetCitadel / trivnetdb
MinneapolisRed Cross
MNEOCMDH
5G Mesh 802.11aOpen WRT
ColorsBlue- DD ModeOrange 5GPurple- both
oror
ISP
MNRAM
TwinsLAN 2.0 – 802.11a Mesh NetworkingAugsburg is the hub OLSR routing protocol Some D-Star sites may join the backbone
3mb/sec
Mesh/OLSR 2013
Explorer 8DefaultTimeout
Ubiquity 5G 2 mile path NanoStation >NanoStation
Case Study
• Pandemic Flu or Anthrax • Need a vaccination/treatment station in two
hours for 20,000 people in a public building• Need to track who got vaccinated, adverse
reactions and vaccine supplies/delivery out of region
• Massive “buzz” going on- infrastructure and transportation disrupted