Legevakt og den akuttmedisinske kjeden – etter 8 år med

Transcription

Legevakt og den akuttmedisinske kjeden – etter 8 år med
Extreme weather, the
consequences for
telecommunications
Senioradvicer Terje Olav Øen,
Emergency Medical Service Department
Weather conditions
•
The society has to be prepared to take care of
situations where we have got a lack of
electrical energy and power supply.
•
This section will primarily discuss problem
related to:
Disconnection from network
Lack of power supply
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Different causes
•
Lightning
• Avalanche – snow and rocks
• Stormy weather
falling trees
sea flooding
damaged roads and
broken cable performance
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Subjects
Cable performance – information transfer
Telephony
Data
Radio communication
Mobile cellular network
Tetra-network: Virvle, Rakel, Sine og Nødnett
Power supply
Demand of redundancy
Measures
Network communication
Power supply
Central and local solutions
Power supply and back up
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Extreme weather
Definition of "Extreme weather”
The wind or the falls are so
strong, the expected water
levels or the risk of
avalanches that high,
that lives and values can be
lost if the society is not
specifically prepared for the
situation.
It concerns a surface of
important size, for instance
a county.
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1992 Nyttårsorkanen
• 2005 Loke
• 2008 Tuva
• 2011 Dagmar
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A structure of telenet.
FS I has contact with
all FS II centrals –
that have contact
with each other.
Interconnection –
centrals that have
high traffic levels
Axcessnett
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Transmission
PSTN
Public telephones’ central units
PABX
Routers
Network - transmission
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”Fasttelefon ”
PSTN - Public Switched Telephone Network
•
Analogue telephony
•
Analogue telephony did function without extern
power supply (until 15th of Dec 1998)
• Demand for emergency service / lifeline service
• Today: no regulations or public demands
•
1997: Network digitalised: voice and data
signal
•
fiberoptical cables, radio line, satellite communication
•
ADSL ( Asymmetric Digital Subscriber Line)
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Public telephony network
PSTN subscription don’t give guarantee for
power supply for end users communication
units
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GPoC – public health
communication centrals
Probably a lot of small call centres
without risk analysis in the municipality
Vulnaribility: traffic overflow
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End user: The public
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Examples: cable-TV-network
multiservice (triple play)
Whitout
power
supply
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Data communication : NB: EPJ
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Data communication : EPJ in EMS
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•
Increasing demand
for @health
• VAKe :Video based
emergency medical
conference
• KOLS-unit (COPD)
• Safety alarms
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Radiocommunication EMS -system
Power supply
48 hours
Telephony and radio
SBapp
Radio
base
Radio
base
OP 1
RBO
OP 2
PBX
OP 3
ICCS
nødnett
TETRA
base
ICCS
RECORDER
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Operatør 1
Operatør 2
Operatør 3
Operatør 4
OP 4

Modem
CTI-RBO
(RS232)
Tale (4W)
RBO
FSS
ADM
LV
113
LV
113
LV
HAFS
Hendelses
server
GSM Data
SSSF
PC-SERV
KOMSRV
SQL
WORDNET
Lydlogg
X.25
ADM
ADM
AMK-CTI
Fast linje-opprinnelsemarkering
ADM
ISDN Router
P
A
B
X
AMK
Førde
OP 2

Link
P
A
B
X
OP 3
HELSERADIONETTET
Tale (4W)
PSTN
Analoge
linjer
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RBO
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OP 1
•
Mobile (cellular)
network
•
Telenor (10.000/ 6.500)
• NetCom
• MobileNorway
Site: co-located or
different places
•
Different mobile
providers
• From GSM to UMTS
(8-10x spead)
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Mobile net
Power supply
Satellite telephony
•
Talk, SMS and Internet access
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Satellite telephone
•
Geostationary (Attention! High mountain–
free sight to equatorial line is demanded)
r= 35 786 km
•
Lower satellite orbit
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Satellite phones
did not work –
They needed to be
charged !!
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(Tetra network)
Radionetwork
Transmission network
Other networks, mobile
systems, telephony
Core network
Zone
MSO
Nødnettfakta:
2 Nettkontroll-sentraler (MSO)
1850 basestasjoner
40 AGA (Air ground Air) – til bruk for
luftambulansetjenesten under flyvning
over 10.000 fot
800 sambandslinjer
850 leide linjer
70-150 tunneler
Cluster
DMS
Dispatch
Management
System
ICCS
Integrated
Communication
& Control
System
MMS
Multimedia
System
ASS
Alarm &
Statistic
System
Control Room demands back up for power
supply. RISK ANALYSIS !
Redundance
What we have to do:
•
Government and authorities
• Services and organizations
• End users - the public – our patients
Systems required operational 24/7
High risk and consequences of failure
• Telecommunication
• Power supply - electricity
Redundancy for telephony networktransmission
Region
.
.
.
.
.
.
.
.
Fjernsentraler
Endesentraler
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Need for redundant solutions
Power supply
Loss of power supply caused by Dagmar
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Redundant cellular network
PT suggests:
• Program for strengthening capacity and
coverage of mobile signal in priority area
• Increase with 1 000 mobile sites
Back up for power supply
• All mobile sites: 6 hours (battery or power
engine)
• Primary: all area covered by mobile signal
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Back up for power supply
Ekom network:
all parts need a back up
Provider is responsible for network supply
and transmission
End user:
responsible for a back up solution on
their own
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Ekom net transmission.
Power supply
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PILOTPROSJEKT
ØSTFOLD
Rømskog
Spydeberg
Hobøl
Trøgstad
Askim
Legevaktsentral
Eidsberg
Call centres handle
overflow and lack of
infrastructure
Moss
Marker
Skiptvedt
Våler
Rakkestad
Rygge
Råde
Sarpsborg
Aremark
Fredrikstad
Halden
Hvaler
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Femtocellen
•
Very small base
station GSM – signal
10-25 meters
• Connected to ordinary
WiFi network
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Aurskog Høland
Surface: 962 km2
Population: 14 830
Rømskog
Surface: 184 km2
Population: 685
In the morning of 28.12 a crash of telephony
• Stationary phones in the municipality
• Mobile phones Telenor
• Mobile phones Netcom (unstable)
Routing of LV telephones
Calling in of crisis management
Supplying radios to:
• Nursing at home services
• Hemnes care home
• Crisis management
Receiving stations
established:
• Aurskog care home
• Legevakten (Emergency
Room)A-H
• Setskog Community House
• Hemnes care home
Communication channels:
Aurskog care home
• Internal WiFi for LVS
•Setskog Community House
• Nødnettsradio fire for LVS
Hemnes hospital
• Nødnettsradio health til
LVS
Patient at home
Health care services’ providers need
to secure patients’ devices with power
supplies
• Who is responsible ?
• Decision is to be set
•
•
Note: Samhandlingsreformen
Coordination in health care services
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Wood-fired Iphone
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