Minnesota Amateur Radio Marathon Support


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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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Minnesota Amateur Radio Marathon Support

  1. 1. 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 Erik Westgard, NY9D 9/19/13 ewestgard@att.net Volunteer Medical Communications Coordinator, Medtronic Twin Cites Marathon Red White and Boom Half Marathon http://www.14567.org
  2. 2. 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 https://everymove.org/blog/the-10-largest-marathons-in- united accessed 9/19/13 The Most Beautiful Urban Marathon in America® 12,000 Marathon starters, 10,000 10 Mile starters, 200,000 spectators
  3. 3. Medical Personnel on the Course The 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. What is our Job? https://www.tcmevents.org/events/medtronic_twin_cities_marathon_we ekend/marathon/medical_information/ Accessed 8/13/2013
  4. 4. Simplified Event Communication Structure Race Director Incident Commander Race Operations Medical Director Medical EMS Course Marshals Other race officials Med Volunteers Amateur Radio EMS Fire Etc. Event Communications Center Normal Reporting In a declared emergency the Incident Commander takes over Under normal operations, the event communications center provides radio and other channels to support the event. In an emergency, all resources are available to the Incident Commander Best practice: An Incident Action Plan (IAP) is on file
  5. 5. Marathon Patient Flow Chest Pain Ice pack, etc All other 911+ Location tracking (+MNTRAC etc.) Location Tracking (admit/discharge) Personal Health Record download
  6. 6. Hams as third backup system SAG wagon dispatching Injured runner tracking- packet Vehicle position reporting (APRS(r)) Family Medical Database Med Tent Admit/Discharge MTCM Medical Team Amateur Radio Project Evolution 1985 1995 2005 2015 D-Star and 802.11 for scale > Personal Health Record Physician Order Entry Tablets Ham dispatchers Hospital tracking > NIMS/ICS www.14567.org 7/7/2013
  7. 7. Aid Stations Net1 Data + 22 Water Stops/ 120 Yellow Shirts 5 + 4 voice 5+1 D-Star Repeaters 911 service Rented UHF 5G Mesh backbone Net Controls- distributed Nets 1-3 D-Star data entry/query On-Course Med Director Finish Line EMS Dispatch Database Net 4 (course inter-tie) Medical Ch.1 Control Medical Director Family Medical/ Med Tent Bus Drop-off iPads IP phones Marathon Course Medical Communications 2012 Race Weekend General Principles: Yellow shirts (hams) backstop medical operations - report and notify Injured /dropped out runner location data flows to the server Course tactical operations are autonomous (ICS) Finish Line 802.11g/n protocol 2-3 D-Star Uplinks 802.11n/OLSR mesh link (Finish line to St Paul EOC) Net2 Net3 Medical Tent Family Medical
  8. 8. News for 2010- iPads for check in – hospital tent New for 2011 – IP Phones New for 2012- Mobile apps Family Medical Information
  9. 9. 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
  10. 10. 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 802.11n Check-In Ipad 802.11n Discharge Laptops 802.11a Win XP Bus Drop-off Station 802.11n Laptops Trailer Linux /MySQL Trivnetdb 2.0 802.11n Web D-Star Net 3+4/Voice Ramsey Cty EOC D-Star Net 2+4/Voice Hennepin Van D-Star Net 1+4/Voice North Memorial D-Star D-Star DD IP was primary in 2008+Com Ctr x3 Laptop 802.11g Win XP Laptop 802.11n Records Mile 1-19 Mile 23-26 Mile 20-22 Net Control + 6-8 carts
  11. 11. Six overlapping DD mode systems provide reliable, web app friendly high speed data (TCP/IP) coverage for the core Twin Cities Metro
  12. 12. www.14567.org D-STAR MSP 8/13 DD Mode Ham Radio Trailers, County/State Vans Trivnetdb Database +web front end ID-1 Radios – data /application uplinks ID-1 Radio Users (remote) links to trailer Mining ARC (Ramsey) @280 feet 90kbps 90kbps Local Laptops Via 802.11g Erik Westgard. NY9D Linux System Citadel, DNAT DSTAR Controller and Data Repeater Minneapolis South (MSP, MOA) @200 feet DSTAR Controller and Data Repeater Linux System Citadel. DNAT DSTAR Controller and Data Repeater Linux System Citadel, DNAT, St. Paul One (State EOC, MDH) @260 feet Linux System Citadel, DNAT, DSTAR Controller and Data Repeater Minneapolis East (Hennepin) @260 feet ID-1 Gateway DSTAR Controller and Data Repeater MPLS N @290 feet Linux System Citadel, DNAT, Packet DSTAR Controller and Data Repeater MNWash * Bayport @600’ ID-1 ID-1 ID-1
  13. 13. Icom D-Star DD Mode + DNAT RP-1/2D ID-1 Linux Appliance DNAT Other services Packet Website Citadel Links OLSR ID-1 Fields not in order: DCall Rcall1 G Rcall2 G SCall Payload Trivnetdb Server ID-1 ID-1 Ethernet Database and or Internet Stock DD RP unit is a simplex Ethernet bridge using callsign encapsulation. It supports one to 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”
  14. 14. New Web Interface- Trivnetdb Missing /dropped out/ill runner web runner lookup and update Runner location only- non HIPAA
  15. 15. Racesafe Proposed Integration 1.0 irunsafe.com trivnetdb in the TCM data trailer API Amateur Family Medical Information Tent agents (6-8) Either a single integrated view or windows to both/all apps TCM Race Timing Web MDs Medical admissions Command centers Query + updates Events + Timestamps Part 97 Requirements: Non HIPAA event view, API feed to trivnetdb EMR PHR data Mobile devices
  16. 16. MNSTPMNAUGMPLS-N MNWASH MPLSS MPLSE STPONE D-Star DD Mode Disaster Nodes 100kb no Internet Citadel / trivnetdb Minneapolis Red Cross MNEOC MDH 5G Mesh 802.11a Open WRT Colors Blue- DD Mode Orange 5G Purple- both or or ISP MNRAM TwinsLAN 2.0 – 802.11a Mesh Networking Augsburg is the hub OLSR routing protocol Some D-Star sites may join the backbone 3mb/sec Mesh/OLSR 2013
  17. 17. Explorer 8 Default Timeout Ubiquity 5G 2 mile path NanoStation >NanoStation
  18. 18. 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
  19. 19. Cellular Jamming http://www.bomb-jammers.net/?m=201305 Accessed 9/19/13
  20. 20. Lessons Learned • Served agency alignment is key- wear their badges – “embedded” • Focus on the mission • Data is the coin of the realm • There is an app for that • Think scale and pre staged infrastructure • Being prepared for the last conflict is unhelpful- shadows, go kits, slow data modes, etc.