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National Rural EMS & Care Conference 2017Kevin McGinnis, Paramedic Chief (ret.)
FirstNet Board
April 25, 2017
For Public Safety, By Public Safety
21st Century
EMS Communications Systems:
“Brick” to the Tricorder & FirstNet!
Kevin McGinnis, MPS, EMT-P
Communications Technology Advisor
National Association of State EMS Officials
National Association of EMS Physicians
National Association of EMTs
National Association of EMS Educators
National EMS Management Association
FirstNet & AT&T: An Innovative Public – Private Partnership
Pre-1970 to 2014
EMS FrequenciesVHF – 155.xxx MHz
– 155.340/155.175 (ambulance to hospital)
– 155.280 (hospital to hospital)
UHF – 463.xxx/468.xxx MHz
– (10 “MED Channels”)
– Frequency Coordination
– Voice Communications
– Biotelemetry
Telephone
700/800 MHz
EMS Needs Improved Communications
Technology
EMS Information Needs“I wonder….” Situational Awareness
“We wonder…” Common Operating Picture
Sequential Processing Parallel Processing
Inability to Adopt Available Diagnostic Applications
What We Need to Improve Info:
Network of Data Bases
– Resource Status
– Events Status
– Adequate Bandwidth to Push/Pull/Park Data:
Voice
Other (Complex Biotelemetry, Video, Images)
GIS- (Visually) Based User Interfaces
– Smartphone, Tablet, Laptop, Desktop
≠ 20+30+50+40 Minutes
Trauma, Heart Attack, Stroke…..
THE GOLDEN HOUR Time Dependent Life Threatening Conditions
© First Responder Network Authority
MERCY
HOSP.
CITY TRAUMA CTR.
LIFE FLIGHT
UNITED AMB.
CITY FIRE/RESCUEMVC
CARDIAC
DIABETIC
EMSREMS
RIDGEWAY HOSP.
JONES MEM. HOSP.
(DIVERT)
RIDGEWAY EMSVERNON FD
VOLUNTEER
AMBULANCE
NEW SHARON FD
1ST RESPONDERS
RIDGEWAY FD
EXTRICATION/HAZ MAT
MVC
2 Patients/45MPH
1001 Hendrix Highway (Nash/Oak Sts.)
Toyota Prius/Object/Head On
++Airbags ++Belts
++Severity
Ridgeway EMS 1
MVC
Other Medical
Alarms
EMS INFORMATION NEEDS
Injury Severity Predictor Allows Early Launch of Resources
8/14/2013 © First Responder Network Authority 13
MERCY
HOSP.
CITY TRAUMA CTR.
LIFE FLIGHT
UNITED AMB.
CITY FIRE/RESCUEMVC
CARDIAC
DIABETIC
EMSREMS
DOTREMS
RIDGEWAY HOSP.
JONES MEM. HOSP.
(DIVERT)
RIDGEWAY EMSVERNON FD
VOLUNTEER
AMBULANCE
NEW SHARON FD
1ST RESPONDERS
RIDGEWAY FD
EXTRICATION/HAZ MAT
MVC
Ames St. to Clark St. to Old
Highway (E); 15.2 Mi.s;
#3945 Old Highway
Ridgeway EMS 1
MVC
ROAD CLEARANCE
Lights + /Cars ++ETA: 10 Min’s.
ETA: 12 Min’s.
Team On Alert for Pt:+
ED On Alert for Pt: +
Team On Alert for Pt:+
Parallel Processing
EMS UAS/Drone for Scene “Preview”
EMS INFORMATION NEEDS
FirstNet devices will improve accident triage and enable parallel processing.
8/14/2013 © First Responder Network Authority 17
Other Technologies
– Two Way Telemedicine (Virtual MD/Community Paramedicine)
– Portable Ultra Sound (Video & Images)
Happening today!
4/26/2017
Other Technologies
– Multiple Patient Monitoring (Mass Casualty Incident)
– Multiple Responder VS Monitoring
Other UAS Uses
Other Predicted Technologies
– http://www.npstc.org/ems.jsp “Documents”
− EMS Based Routine Patient Monitoring
− Automated Dispatching Based on Monitored Patients
and Vehicles
− Audio/Video/Data Interfaces with “I’ve fallen” Systems
− Access to Searchable Patient Records/Images/Data
− Real-Time Vehicle Extrication Hazards Alerting Based
on AACN Including Video/Images as Necessary
− Syndromic Surveillance and Quick Alerting to Specific
Populations
− Physician Mediated Interface Between EMS Dispatch,
EMS Crews and Nurse Call Centers
VHF/UHF
Won’t Cut It:
– Current: < 9.6+ kbps @ 12.5KHz bandwidth
Early Dial-Up: 14.4 kbps
Current Dial-Up: 56 kbps
V.S. Transmission: 76+ kbps
Basic video (300-700 kbps)
Ultrasound/CT?
So Where Did That Leave Us?
The Situation Now
October 4, 2016
Mutual Aid
Police
FireRescueFirst
Responder
Over 20,000 Separate Private LMR Networks
Voice Data Commercial Wireless
Networks
The Downside• Communication barriers• Low data rates• Limited buying power• Higher costs
• Not public safety-grade• Network overload or failure• No priority access• Lack of interoperability
Creation of FirstNet
• Responsible for building the Nationwide Public Safety Broadband Network
• Independent Authority in U.S. Department of Commerce
• Nationwide license for 20 MHz of spectrum
• $7 Billion in authorized funding from spectrum sales
• 15 member Board of Directors including public safety
• 42 member public safety advisory committee (PSAC)
4/26/2017
“True Priority®” from FirstNet
4/26/2017
FirstNet & AT&T: An Innovative Public – Private Partnership
12
700 MHz Landscape
• FirstNet is the license holder for Public Safety’s Broadband allocation –Band 14
• Commercial Carriers also operate in several bands outside of 700 MHz
4/26/2017
AT&
T
AT&
TD
ish
AT&
T
Ve
rizon
PS
Bro
adb
and
PS N
arrow
ban
d
Ve
rizon
PS
Bro
adb
and
PS N
arrow
ban
d
6 MHz 12 MHz 12 MHz 6 MHz 12 MHz 11 MHz 10 MHz 6 MHz 11 MHz 10 MHz 6 MHz
13 Band 1413 Band 14
17
2912
17
1 MHz Guard Bands
LMR LMR
DOWNLINK DOWNLINKDOWNLINKDOWNLINK UPLINK UPLINKUPLINK DLUL
FirstNet & AT&T: An Innovative Public-Private Partnership To Build Public Safety’s Network
20MHz
Spectrum &
$6.5B Funding
Customer
Experience
Innovation
Public Safety
Expertise &
Relationships
Program
Management
$180B
Infrastructure
& Services
Technology
Innovation &
$40B investment
Security (Cyber,
Application, &
Network)
Telecommunications
Expertise
IN
MODERNIZED
Innovative apps and large
devices ecosystem
Network improvements
and upgrades over 25 years
Multi-layered, proven,
cybersecurity and network
security solutions
PRIORITIZED
Emergency communications
receive highest Quality
Priority & Preemption
Rapid deployment of network
Instant nationwide coverage
leveraging existing
infrastructure
PUBLIC SAFETY
Counties, Cities,
Tribal, Rural
50 states
5 territories
& DC
COMMUNITIES
Transforming Public Safety Communications
ACROSS
Police, Fire, EMS,
911, others
FirstNet - Dedicated to Excellent Customer Experience (CX)
SPECIALIZED
Nationwide coverage with
access to deployables
Aggressive pricing for public
safety
Dedicated 24/7/365 public
safety helpdesk
THE NATION
Public Safety’s Priorities
What We Heard in Consultation
What We Plan to Deliver “Coverage must be the same”
“Same or lower cost”
“We need this now”
“Rural coverage critical”
“Device & Apps Ecosystem”
More than 99% of Americans covered
post Governor’s Decision
Aggressive public safety pricing
By end of 2017, QPP on all AT&T LTE
bands
Network evolution and access to 100s
of AT&T deployables + 72 BC14
FirstNet dedicated deployables
Robust Device & Apps Ecosystem
A RAN
Core Network
FirstNetRAN
Distributed CoreNetwork
EPCEvolved PacketCore network
SDPService Delivery
Platform
FirstNet “3-in-1” Nationwide Network Concept
N RAN
Core Network
FirstNetRAN
SatelliteCore Network
SatelliteCore Network
Operator A
Terrestrial Mobile Systems Mobile Satellite Systems Deployable Systems
System OnWheels
Cell OnWheels
Operator A Operator NOperator N
……
FirstNet
Network Components and Choices
35
CORE
RAN
DEVICES / SERVICE
Service Plan
Responsibility
Agency Choice
✓FirstNet
FirstNet (Opt In)
State (Opt Out)
February 27, 2015
Key Next Steps to State Plan Release
DRAFTFirstNet State Plan Release
FirstNet Presents State
Plans
States Submit Comments to
FirstNet
FirstNet Reviews
Comments
FirstNet State Plan Release
States Review Draft Plan
2017 Summer Fall 2017Ongoing Consultation, Outreach, Education, and Collaboration
What can YOU do?
• Know your “SPOC”–www.FirstNet.gov/consultation
oClick on the “State Single Point of Contact” tab
• Know the members of your SIEC • Communicate the Needs, Wants, and Possibilities of EMS• Get to the table!• Follow www.FirstNet.Gov
– Job opportunities– Blog
4/26/2017
FirstNet News & Information
38
State Single Points of Contact (SPOC): www.firstnet.gov/consultation
www.firstnet.gov• Blogs• FAQs• Fact Sheets• Presentations• Reports• Calendar of Events
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Stay ConnectedVisit our Website
Contact your State, Territory or Association Representatives
Engage with us on Social Media
Public Safety Advisory Committee (PSAC): www.firstnet.gov/about/public-safety-advisory-committee
Kevin McGinnis, MPS, Paramedic Chief (Ret.)FirstNet Board Member
