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 Svalbardgruppen 31.aug. 2012 Ålesund |2 Different causes • Lightning • Avalanche – snow and rocks • Stormy weather falling trees sea flooding damaged roads and broken cable performance Svalbardgruppen 31.aug. 2012 Ålesund |3 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 Svalbardgruppen 31.aug. 2012 Ålesund |5 Svalbardgruppen 31.aug. 2012 Ålesund |6 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. Svalbardgruppen 31.aug. 2012 Ålesund • 1992 Nyttårsorkanen • 2005 Loke • 2008 Tuva • 2011 Dagmar |7 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 Svalbardgruppen 31.aug. 2012 Ålesund |8 Transmission PSTN Public telephones’ central units PABX Routers Network - transmission Svalbardgruppen 31.aug. 2012 Ålesund |9 ”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) Svalbardgruppen 31.aug. 2012 Ålesund | 10 Public telephony network PSTN subscription don’t give guarantee for power supply for end users communication units Svalbardgruppen 31.aug. 2012 Ålesund | 11 GPoC – public health communication centrals Probably a lot of small call centres without risk analysis in the municipality Vulnaribility: traffic overflow Svalbardgruppen 31.aug. 2012 Ålesund | 12 End user: The public Svalbardgruppen 31.aug. 2012 Ålesund | 13 Examples: cable-TV-network multiservice (triple play) Whitout power supply Svalbardgruppen 31.aug. 2012 Ålesund | 14 Data communication : NB: EPJ Svalbardgruppen 31.aug. 2012 Ålesund | 15 Data communication : EPJ in EMS Svalbardgruppen 31.aug. 2012 Ålesund | 16 • Increasing demand for @health • VAKe :Video based emergency medical conference • KOLS-unit (COPD) • Safety alarms Svalbardgruppen 31.aug. 2012 Ålesund | 17 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 Svalbardgruppen 31.aug. 2012 Ålesund | 19 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 Svalbardgruppen 31.aug. 2012 Ålesund RBO | 20 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) Svalbardgruppen 31.aug. 2012 Ålesund | 21 Mobile net Power supply Satellite telephony • Talk, SMS and Internet access Svalbardgruppen 31.aug. 2012 Ålesund | 23 Satellite telephone • Geostationary (Attention! High mountain– free sight to equatorial line is demanded) r= 35 786 km • Lower satellite orbit Svalbardgruppen 31.aug. 2012 Ålesund | 24 Satellite phones did not work – They needed to be charged !! Svalbardgruppen 31.aug. 2012 Ålesund | 25 (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 Svalbardgruppen 31.aug. 2012 Ålesund | 31 Svalbardgruppen 31.aug. 2012 Ålesund | 32 Need for redundant solutions Power supply Loss of power supply caused by Dagmar Svalbardgruppen 31.aug. 2012 Ålesund | 34 Svalbardgruppen 31.aug. 2012 Ålesund | 35 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 Svalbardgruppen 31.aug. 2012 Ålesund | 36 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 Svalbardgruppen 31.aug. 2012 Ålesund | 37 Ekom net transmission. Power supply Svalbardgruppen 31.aug. 2012 Ålesund | 38 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 Svalbardgruppen 31.aug. 2012 Ålesund | 39 Femtocellen • Very small base station GSM – signal 10-25 meters • Connected to ordinary WiFi network Svalbardgruppen 31.aug. 2012 Ålesund | 40 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 Svalbardgruppen 31.aug. 2012 Ålesund | 44 Svalbardgruppen 31.aug. 2012 Ålesund | 45 Svalbardgruppen 31.aug. 2012 Ålesund | 46 Svalbardgruppen 31.aug. 2012 Ålesund | 47 Wood-fired Iphone Svalbardgruppen 31.aug. 2012 Ålesund | 48