The document describes how amateur radio operators provide emergency communications support for the annual Medtronic Twin Cities Marathon. It discusses: - How 120 radio amateurs showcase their technology leadership by supporting communications for the marathon. - The principles of amateur radio service including providing emergency communications, advancing the radio art, and encouraging skills. - The communications structure and technology used at the marathon, including digital repeaters, packet radio, databases for runner tracking, and IP phones. - Examples of projects like mesh networking and IP phone systems that could support disaster response. - A hypothetical case study of how their resources could be used to set up vaccination tracking for 20,000 people within 2 hours in a pandemic situation.

1. Advanced Amateur Radio Mass Casualty Response Erik Westgard, NY9D © 12/15/2011 www.14567.org How 120 Minnesota Radio Amateurs showcase their emergency communications technology leadership every year at the Medtronic Twin Cities Marathon

2. 97.1 Basis and purpose. The rules and regulations in this Part are designed to provide an amateur radio service having a fundamental purpose as expressed in the following principles: (a) Recognition and enhancement of the value of the amateur service to the public as a voluntary noncommercial communication service, particularly with respect to providing emergency communications . (b) Continuation and extension of the amateur's proven ability to contribute to the advancement of the radio art . (c) Encouragement and improvement of the amateur service through rules which provide for advancing skills in both the communications and technical phases of the art. (d) Expansion of the existing reservoir within the amateur radio service of trained operators, technicians, and electronics experts . (e) Continuation and extension of the amateur's unique ability to enhance international goodwill. Mission Statement- FCC Part 97, Parts A-D

3. Green-Single Frequency Blue -Original 2001 stations Bold/Underline- Core sites Grand Rapids MNBRD MNCCC7 MNCCC/MNDUL/FWD (.01) MAPLE MNCLK MNLF2 MNPEQ MNWBL 67/01 MNMSU 8/2009 MN 1200 bps Packet (145.67 MHz) Status www.14567.org MNAUS WILMAR MNRUSH MNSAND This network covers 75% of the population of Minnesota Many of the hospitals in Minnesota have Equipment for this network Bemidji MNMONT MNFRBL MNMPLS MPLSDN MNDWSN MNWBS MNROCH MNMLB SHAFER Packet is still up…

4. Five overlapping systems provide reliable coverage for the core Twin Cities Metro

5. Digital 2M/440 Coverage 3/10 Yellow- 2M Blue 440

6. MTCM Patient Flow – Finish Line Main Medical Chest Pain Ice pack, etc All other Location tracking (+MNTRAC etc.) Location Tracking (admit/discharge) Personal Health Record download

7. Net1 Data 22 Water Stops/ 120 Yellow Shirts 5 + 4 voice 5+1 D-Star Repeaters 911 service Rented UHF 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 MTCM Course Medical Communications 2011 General principles: Course tactical operations are autonomous Yellow shirts backstop med ops- report and notify Injured runner data flows to the server ~15,000 runners, ~300,000 spectators Finish Line 802.11g protocol 2-3 D-Star Uplinks 802.11a links (Finish line to St Paul EOC) Net2 Net3

8. Simplified Event Comm. Structure Race Director Incident Commander Race Operations Medical Director Medical EMS Course Marshals Other race officials 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

9. 2011 Medtronic Twin Cities Marathon Finish Line Medical Control Net 4/Voice Intertie Ch 1 Course Medical CH6 Ch 6 Finish Area EMS Medical Director Med Tent Med Info Tent (x6) Amateur Radio Medical Communications Support System Trivnetdb 2.1 Web front end 802.11g*** Internet D-Star *2 Ubiquiti 5G ***802.11b>g in 2009 +WPA2 Mile 1-19 Mile 23-26 Mile 20-22 STPONE MPLSE D-Star Repeaters www.14567.org MINING iPads 802.11g (MDs) Secure Laptop Win XP Medical Records Laptop 802.11g Win XP Discharge Laptop 802.11g Win XP IP Phones Bus Drop-off Station/ EMT 802.11g D-Star Net 3+4/Voice Ramsey Cty EOC Ubiquiti 5G Voice Net 2+4/Voice Hennepin Van D-Star Voice Net 1+4/Voice North Memorial D-Star Voice Course MD Voice mobile Net 4- shadow Laptop 802.11g Win XP Check-In

10. New Web Interface- Trivnetdb Missing /dropped out/ill runner web runner lookup and update

11. Citadel Mail and Conferencing Linux based- open source Supports mail and conferencing Runs on low power appliance computers Supports a character mode interface for packet ICS and HICS form migration (2Q09)

12. News for 2010- iPads for check in – hospital tent New for 2011 – IP Phones

13. Runner tracking and situation reports – TrivnetDB in the main Comm Center at “Course Medical” Net Control – note rented UHF radios

14. www.14567.org D-STAR MSP 12/11 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 Minneapolis South (MSP, MOA) @200 feet St. Paul One (State EOC, MDH) @260 feet Minneapolis East (Hennepin) @260 feet ID-1 MPLS N @290 feet MNWash Bayport @600’ Linux System Citadel, DNAT DSTAR Controller and Data Repeater DSTAR Controller and Data Repeater Linux System Citadel. DNAT DSTAR Controller and Data Repeater Linux System Citadel, DNAT, Linux System Citadel, DNAT, DSTAR Controller and Data Repeater Private Gateway DSTAR Controller and Data Repeater Linux System Citadel, DNAT, Packet DSTAR Controller and Data Repeater

15. Bus/Sag Drop-off Remote EMT dispatch Main Medical Trailer Trivnet Srvr 802.11g Finish Line Cross Agency Medical Dispatch + Coordination Center Family Medical Roaming Medical Teams Focus Area MTC Marathon 2011 Finish Line 100 Yards Blue=Amateur Radio Managed Green= AR Advisory Support

16. MTCM Personal Health Record Project 11/30/09 Cloud PHR System(s) Google Health Microsoft HealthVault Runners enter health information, authorize race(s) for query www.healthycircles.org platform for scripted runner data entry Medical Tent Admissions runner chip scan: Name Address Age Phone# Race day query- “clinic interface” Populate medical record form Provide PHR info record to patient care team (MD, RN, EMS, etc) Phase 1: Runner entry script Phase 2: Clinic query/print Phase 3: Clinic update PHR Phase 4: PDA support “ No local PHI storage” www.14567.org Laptop Windows 3G Aircard Chip Scanner @ Admissions Desk

17. 2011 MTCM D-Star All EOCs on D-Star DD Mode All Vans and net controls on D-Star for data AX.25 Packet retired New 84’ Mobile Van integrated Finish line 802.11g and 5G data

18. Data/Net Plan for 6/6/2010 Minneapolis Marathon 1.1 NY9D@arrl.net Race Course along River Aid stations (6) Yellow Shirt Every mile Medical Tent Finish Line (Guthrie Parking Lot) Family Medical SMES Van Hennepin Van Com Center/SMES: Incident Commander Medical Director Race Director Ham Net One Operator Medical Tactical Radio Course emergency phone Family Medical: 4-5 Hams + Laptops (802.11) Computer access to drop out data Hennepin Van: Ham Net One Control Data Entry/database 802.11g for Family Medical Transport coordination N Bike Medics 5/3/10

19. Some Projects 12/11 Mesh networking - HSMM – DD-WRT TwinsLAN 2.0 / 5G Ubiquiti project Investigate digital certificates /callsigns IP Phone Systems (open source) + SIP service New UHF D-Star Repeater – USROOT- KC0WLB Washington County Site – install soon Thin client replacement

20. Mesh Networking Lab 11/2011 The Linksys WRT-54GL routers run Linux® and open source mesh routing code The routers find each other and set up an automatic backbone wireless mesh User station PCs can use the Ethernet switch on the routers but cannot directly join the backbone directly At an emergency site, these routers can be set out and will form an automatic, self healing network

21. Ubiquiti Inventory 12/11 3X 2X 1X

22. MNSTP MNAUG MPLS-N MNWASH MPLSS MPLSE STPONE D-Star DD Mode Disaster Nodes 100kb no Internet Citadel / trivnetdb Minneapolis Red Cross SMES MNEOC MDH 5G Mesh 802.11a Open WRT Colors Blue- DD Mode Orange 5G Black- both or or ISP MNRAM TwinsLAN 2.0 – 802.11a Mesh Networking Augsburg is the hub Some D-Star sites may join the backbone

23. KC0WLB B 444.325 + 12/18/11

24. 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 (SNS) supplies/delivery out of region Massive “buzz” going on- cell phones overloaded and transportation disrupted

25. Our Response Roll trailer /van Set up a database (Trivnetdb) – phone or name number key Set up six laptops at the front desk- sharing a single ID-1 Deploy IP phone system (Asterisk) – local trunks/VoIP/Fax Use 802.11G (commercial /off the shelf) locally Use community volunteers for data entry Use the Statewide Packet Network /NTS /Airmail to coordinate out of region support Link via Internet or D-Star to central systems Set up a single laptop unconnected for adverse reaction tracking under medical supervision (HIPAA)