Showing posts with label EMS vehicle broadband. Show all posts
Showing posts with label EMS vehicle broadband. Show all posts

Mar 30, 2017

Public safety vehicles need to be always online!

For many years, public safety organisations around the world have implemented land mobile radio systems (LMRS) to improve the communication capabilities of their field operations. Some nations have been the forerunners in this area, boosting digital networks with excellent coverage throughout their respective countries. Others are slower to adapt, with rollouts still ongoing in many territories. These systems, whether TETRA, TETRAPOL or P25 technologies, were designed for specific public safety voice applications and often use technology similar to the first digital mobile networks. Although the systems provided a great improvement over voice-only services, their networks now face great limitations due to very low data capacities. Data traffic carried over digital LMRS networks may even jeopardise the primary voice services. 

The data solution required today must improve the main functionality of voice while simultaneously offering data communication that meets the capacity and requirements of public safety. The requirements for current and future critical data connectivity are:
  • Coverage;
  • Availability;
  • Data integrity;
  • Session persistence;
  • Cost efficiency; and
  • Interoperability.
What are the used services?

The required services are the key reason to implement new data connectivity. Services that are needed today within public safety vehicles include:
  • Image and file transfer;
  • Location-based services;
  • Database queries;
  • Biometric checks; and
  • Video streaming.
Information sharing between different public safety operations is a valuable tool for increasing the efficiency and effectiveness of these service providers. This means collecting, sharing and forwarding data between databases controlled by different jurisdictions or pure command centre interoperability. These important applications are impossible to implement within the technological limitations of traditional voice and SMS-type data services. It is obvious that broadband capabilities that fit public safety requirements are essential in order to improve efficiency. This creates the next dilemma: what is required from a police broadband solution technically, and how can we afford it?

Using multiple networks is the "blue ocean" of critical connectivity

Utilising multiple networks simultaneously is the key to using these new data applications efficiently. The idea is to combine two or more relatively well-functioning networks into one connection that meets the requirements of field operations. Multi-channel router technology offers the means to utilise existing parallel commercial and/or private networks. Multi-channel routers need to be populated with several wireless terminals supporting a wide variety of different radio technologies or operators’ networks, and directing mission-critical traffic should always be performed using the best connection available. This enables the minimization of investment into new and expensive networks and does not require necessarily allocated frequencies for public safety. 

Services used

As a first example, the services police authorities use with the data connection are many and varied, with the future offering seemingly limitless capabilities. The first step is to enable a basic functionality (e.g. enabling e-mails with larger data files to be sent without interruption). The increased data capacity also significantly improves situational awareness (e.g. seeing in real time where all other units are and what their status is). With broadband data for police vehicles capabilities, it is possible to drastically expand the area within which units can be surveyed. Other immediately accessible services include real-time blogging, where units can write their observations to specific shared pages on a region by region basis. This service in particular has been extremely well received. The safe connection eventually enables easier and secure sharing of confidential information. It is possible to call up a suspect’s criminal record, any outstanding/previous fines, or even vehicle information. With this approach, all the needed tasks can be performed on the spot, while required documents can be created and printed immediately. This includes a wide variety of tasks, including:
  • Reporting an offence;
  • On-the-spot fines;
  • Sentence claims;
  • Preliminary investigations;
  • Crime enquiries;
  • Technical investigations;
  • Weapon register checks;
  • Personal ID checks; and
  • Passport checks.
The use of broadband in ambulances is somewhat similar. The hospital district needs to chart patients and share data in real time in order to more easily manage ambulance trauma workflow and analyse patient data. The applications used help hospitals realise significant clinical and operational benefits, as well as improving performance and quality. It is even possible to capture data using a touchscreen interface, making charting quick, accurate and comprehensive. The applications enable hospitals and staff to see the status of all patients, including real-time information from charting in the field. It is also possible to use a workflow management system that allows agencies to manage EMS through review and approvals, ultimately replacing the paper trail. The hospital district can then use pre-built server reports and a powerful data analytics package to observe trends and effect change. 

Ambulances are outfitted with docking stations and tablet PCs. Data is entered via touch or voice recognition. Paramedics can send patient data in real time to the hospital, but more than this, the system allows users to quickly and accurately capture and relay far more information than a manual method via paper charts. The patient data is then available instantly to the emergency department and clinical audit staff.

Is this economically viable?

Is a multiple network approach an expensive solution due to hardware and software pricing, as well as due to high network data costs? To answer this, one should look at the costs of the whole unit on the wheels. Whether it’s an ambulance or a police car, one can add the costs of two persons in the vehicle to the vehicle costs, easily making between €100 and €200 per hour. The issue with the broadband connectivity is efficiency. Can we use this expense more efficiently if we have a reliable broadband to the vehicle? Yes, we can.

For work efficiency improvement the clue is whether the users actually begin their work on the move. If the connectivity is not good enough, no matter how cheap, the applications will not be used and the availability levels should always be more than 99% – in many cases up to 99.9% is required. Only this high availability assures the office application usage and makes the ‘office on the wheels’ concept a reality. 

The future is now

It has been proven by many implementations around the world that the high data rate and high availability broadband services offer are a tremendous advantage to public safety operations in the field. This is a direct response from users that have used the technology for years. The applications constantly demand more bandwidth, as well as those currently available. In the future, online streaming video will be the killer application.

Additionally, intelligence cannot remain in the vehicle’s on-board computer. This means that safe and high availability access to central databases is a must. A managed multichannel routing solution is the future-proof answer to these needs, and no huge upfront investments are needed: one can start easily with multiple commercial operators and the links can be upgraded to new dedicated networks when they emerge. A wonderful benefit of Goodmill is that it can use any available network technologies now and in the future, provided that there are modems available.

From a monetary point of view, the approach is rock solid. The payback is only weeks due to improved operational efficiency and, most importantly, the solution has been proven to save not only time and money but also lives.

Juhani Lehtonen
Vice-president, Sales and Marketing
Goodmill Systems Ltd
+358 50 572 5542
juhani.lehtonen(at)goodmillsystems.com
www.goodmillsystems.com


Aug 22, 2013

Ambulance Data Connectivity Test in Kainuu, Finland

Kainuu Health District organized a system testing for Ambulance Data Connectivity in Kainuu region (Central-Eastern Finland) during the summer 2013. This is a free to use summary of the actual tests, results and summary with suggestions. The significance of a special vehicle router system is underlined.

Test Kit

Router
  • Installed in the vehicle. Goodmill w24e-RR router with external magnet antennas.
  • The router used total of three networks (WAN links). Two 3G networks - Sonera and Elisa, as well as one 450CDMA network
  • The connection via the router to the computer is enabled through a WIFI Access Point connection.
Computer
  • Computers used in this test were 2 laptops. 
  • The first tests were carried out on the Windows XP operating system and the router plus an internal 3G modem (Mokkula)
  • Second tests used Effica Health Care application by Tieto on the Laptops.
    • This testing was carried out on the Windows 7 operating system with 3G USB modem and the router. Both 3G modems used DNA's network.
Tested applications

Effica
  • Effica testing was carried out using a test environment which had the same IT requirements as the proper usage environment Effica would have.
  • The programme requires a non-stop wireless network connection and does not allow any interruptions in the Wifi connection while the registration is being carried out.
Citrix
  • Citrix remote desktop enables using Effica with a suboptimal internet connection.
  • Effica runs on the server and there is a desktop view on the computer of the programme. With CITRIX, Effica does not sign the user out if the internet connection is interrupted for a short period of time.


Birdstep Technology Oy, Safemove
  • Safemove software is needed for creating a password secure connection and changing connection without interruption. 
  • When the connection is directed from the 3G modem to the router it causes the IP address to change - which would result in losing the Effica network connection. 
  • A mobile IP address is created by the Safemove software, allowing the IP address to stay the same, ensuring the internet connection does not get interrupted.

Safemove software has vehicle router installed in as a priority connection to enable connectivity inside and close to the vehicle. When the WiFi connection to the vehicle is cut, the computer automatically starts using the 3G modem.



Test set up in Kainuu

Testing Methods Stage 1

In the first stage only the connection speed and the reliability was tested for Effica. At this stage only a router and a computer with a Windows XP operating system was used.

Road Test

The road test was mainly done using a moving vehicle. When the connection was poor the vehicle was brought to a halt.

The reliability of the connection was tested simply by running continuous ping-tests. Ping is a TCP/IP protocol tool which tests the reachability of a certain specified device. Ping sends an ICMP echo request package to the device, which the remote computer responds to with its own echo reply package. Ping tests were sent to the Google server address 8.8.8.8 using the Windows command line.

The upload/download connection tests were carried out using http://speedtest.net.

Apartment Test 

The testing methods were the same as in the road test. In each test situation the vehicle was parked about 10-20 metres outside the entrance.

The test locations were:
  • A second floor of Kainuu First Aid’s building
  • The Central Hospital Patient Tower; a concrete block of flats in Kajaani City Centre 
  • A wood-insulated detached house in Kajaani's Pärsänsuo
  • A tiled detached house in Vuolijoki.


Testing Methods Stage 2

During the second stage the suitability of Effica for First Responders was tested.


Stage 1 Test Results

Road test with router

The reliability of the internet connection was very good. The connection was not offline for more than ten seconds at a time even in the most remote areas. When the connection was poor the car was stopped which brought the connection speed up again. The minimum connection speed was 1Mbit which is high enough for Effica to function well.

The connection speed was also periodically tested using a single 3G modem without the router. This showed that connection speed was very low outside suburban areas. Effica would not work in these areas.

First Aid Building connectivity

The WiFi connectivity was tested from laptop to the vehicle. The connection to the vehicle router was not interrupted during the whole test period. The vehicle was parked ~10 metres from the main entrance.

Connection speed from the laptop near the building inside the car:
  • Download  7,68 Mbit/s 
  • Upload  2,01 Mbit/s
  • Ping 74 ms
Connection speed inside the apartment:
  • Download  2.84 Mbit/s
  • Upload  1,53 Mbit/s 
  • Ping 75 ms 
These both connection speeds are sufficient for Effica.

Patient Tower building connectivity

The vehicle was parked right by the patient tower, the distance to the car was ~20 metres. The WiFi connection from laptop to the router was cut almost instantly when entering the building.

Stone-built Block of Flats in Kajaani City Center

The vehicle was parked ~10 meters from the main entrance. The connection was lost when entering the building, ~10 meters from the building’s entrance.

Detached house, wood-paneling inside

Vehicle was parked ~10 meters from the main door. The connection was lost in the bathroom as this was farthest from the car. This was likely due to the concrete bathroom wall. The connection was also tested using a single 3G modem.

Connection speeds using a router:
  • Download variable: 2.5-0.3 Mbit/s
  • Upload variable: 1.5-0.1 Mbit/s
  • Ping variable: 80-100 ms
Connection speeds using a 3G modem:
  • Download Variable: 4.5-0.3 Mbit/s 
The connection speeds were better using a 3G modem in the laptop inside the flat.

Tiled detached house in Vuolijoki 

The vehicle was parked circa 10 meters from the main door. The laptop WiFi connection remained uninterrupted. Not much variation on the connection speed.
  • Download 3.0 Mbit/s 
  • Upload 2.0 MBit/s
  • Ping 88 ms 



Stage 1 Test Summary

The connection cannot be guaranteed in all locations, but when in the near vicinity of the vehicle the CDMA450 connection is very comprehensive nationwide and therefore the connection is fairly reliable.

A router fixed inside the vehicle is needed when using Effica. This enables a reliable and comprehensive network. An additional laptop 3G modem connection is needed when using Effica in tall buildings and far away from the vehicle when in suburban areas.


Stage 2 Test Results

Road Test 

The Effica test environment stayed active and recordable throughout the route. The WiFi connection was active and operational the whole time. Downloading and uploading information went smoothly and without any major interruptions or twitching. The same Effica session was used throughout the road test. At one test point along the Lahnasjärven Road Effica was working even at ~100 metres from the car. For test reasons there was an inbuilt WiFi antenna in the car which probably shortened the range. A normal setup would be an outside antenna.


Stage two road test route

When tested outside the WiFi range, the laptop used Effica using 3G modem although connection was in this case very slow. A speed test for the 3G modem resulted in ping 875 ms and download 0,02 Mbit/s, whereas the router received ping was 85 ms and download 1.08 Mbit/s.


Kainuu road test data

A Detached House with a wood-paneling inside

The car was parked in the same spot as in the speed tests, ~10 metres from the main door. When entering the room that was furthest from the car, the connection automatically switched over to the 3G connection. There was virtually no difference in the recording once this happened. 

Patient tower (Kaks potilastorni)

The connection automatically switched to the 3G modem and recordability remained the same. The testing continued in the stairwell up to the 4th floor and recording of Effica was also working inside the lift going down.


Test 2 Summary

Effica works faultlessly using this setup. Switching between connections is unnoticeable to the user and it is likely to be sufficient for Effica over the whole Kainuu region. The connection to Citrix was lost a couple of times but this was due to the user. The same session was still open after logging back into Citrix. So even though the connection was lost in the middle of recording, the data was not lost.


End Result and Summary

It is possible to get the Effica patient database working reliably in ambulances. The router reliability and connection speeds are sufficient in and around Kainuu region. On top of the router, a 3G modem connection is needed because the WiFi connection does not work through thick walls or at distances greater than 100-300 meters from the vehicle.

The Safemove software from Birdstep Technologies Oy is also needed, as this enables the switching of the router and 3G modem connection to ensure that the Citrix connection is not lost.

You can read more about Kainuun sote, the organisation conducting the by clicking the link:


Modified from Finnish report by Juhani Lehtonen