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The EMS Take: Summer 2023
First responder with a stretcher next to crashed car
Photo courtesy of the Bristol Kendall Fire Protection District. FirstNet gives EMS priority access and improved coverage to help support the best pre-hospital care possible. Learn more about FirstNet for EMS

The EMS Take with Jon Olson

Connecting ambulances at the network’s edge with HPUE

Ambulance runs can go to the most remote of places—in both rural and urban environments. A useful piece of technology for EMS is FirstNet’s high-power user equipment, or HPUE. HPUE boosts signal power up to six times the normal strength at the edges of the network.

I talked with Lieutenant Humza Shamsuddin, Technology Director for the Bristol Kendall Fire Protection District in Illinois, about how his agency uses HPUE for EMS.
 

Diverse service area

The Bristol Kendall Fire Protection District covers about 81 square miles with 40,000 people. The district is unique because it encompasses everything from urban subdivisions to farm communities.

“We have a diverse geographic area, including a river valley that impedes communication where you tend to drop off the radar for cellular communication,” said Lieutenant Shamsuddin.

Many of these coverage gaps were addressed when the agency switched to FirstNet. “The areas that we knew were dead zones for a previous carrier—magically, we didn't really have them with FirstNet.”

The agency uses FirstNet for voice communications and mobile data connectivity throughout its service region. Because it has mutual aid agreements with neighboring districts, the EMS team often travels further afield where they also rely on FirstNet. 
 

HPUE connects in fringe areas

At the edge of the network’s reach, HPUE can improve connectivity and uplink data speeds to keep first responders communicating. HPUE gives public safety devices the power to punch through and maintain connection to the network when traditional devices might slow or drop off entirely.

“In fringe network areas, HPUE allows us to stay connected with a higher level of reliability,” said Lieutenant Shamsuddin.

With HPUE’s increased signal, EMS and other first responders get an enhanced experience with better range, coverage, penetration, and capacity for their devices.

Lieutenant Shamsuddin said that this enhanced experience makes a difference for his agency’s operations. “There were still areas that had issues because of geography. Once we brought in HPUE, it helped to fill in those gaps because we can transmit at a higher power.”
 

How EMS can use HPUE

HPUE is especially useful for EMS operations because it provides:
  • Greater range in the ambulance
  • Better video quality
  • Reliable, secure transmission for 12-leads, medical records, and other data
“Leveraging HPUE allows us to maintain connections not just for dispatch information but also for connecting our cardiac monitors to send 12-leads from the field,” said Lieutenant Shamsuddin.

The Bristol Kendall Fire Protection District participates in the RUSH TeleStroke Network, a telemedicine program. They do a video call from the scene with a remote neurologist to determine if a patient is having a stroke and to prepare the right resources at the hospital for the incoming patient.

“HPUE and the more robust and reliable network of FirstNet have allowed us to initiate those calls even when we are in a very rural setting,” he said.
 

Government-backed solution for public safety

HPUE is designed for EMS and other first responders on FirstNet. HPUE transmits stronger signals by using Band 14 spectrum and specially designed FirstNet modems. FirstNet’s Band 14 is the only spectrum band in the United States operating with HPUE.

FirstNet’s HPUE product is called FirstNet MegaRange™. MegaRange has three device options: one that can be installed in the ambulance, one in a portable carrying case for on-the-go use, and one for fixed use to boost FirstNet in remote sites.

The FirstNet Authority worked with regulators and standards bodies to ensure that first responders got access to this important technology. HPUE is built to mission-critical standards developed by the 3rd Generation Partnership Project, or 3GPP.

These oversights and assurance were important to the Bristol Kendall Fire Protection District in choosing FirstNet. “When I learned about how the network is designed and the fact that it's actually government sponsored, I started to see how FirstNet’s reliability and coverage could help us, especially in disaster response,” said Lieutenant Shamsuddin.
 

Your experience

Would HPUE help your EMS operations? Does your agency currently use HPUE? I’d love to hear your thoughts. Email me or find me or my colleagues at these events:
Visit our EMS page

Inside FirstNet

5x5: The Public Safety Innovation Summit brought together nearly 500 thought leaders from public safety, government, industry, and academia to envision the future of public safety communications. This event was hosted by the FirstNet Authority and the National Institute of Standards and Technology’s Public Safety Communications Research Division.
In a two-part series, Executive Director and CEO Joe Wassel reflects on his first 100 days at the FirstNet Authority. Following a coast-to-coast tour where he met with first responders, Joe shares his vision for the future of public safety communications and what's next for the FirstNet Authority.
With 5 million network connections, FirstNet continues to grow and evolve. The 2023 FirstNet Authority Roadmap outlines our goals for the future of FirstNet: a robust and dependable network, connected first responders, and operationalizing advanced technologies.
The FirstNet Authority awarded the prestigious McEwen Award to Teri Takai for her leadership in advancing broadband communications for public safety, and the first Patriot Award to Chief Peter Burke of the Hyannis Fire Department in Massachusetts for using FirstNet in innovative ways to make his community safer.
On land, in the air, and on water—first responders need to be able to communicate wherever the mission takes them. The FirstNet Authority published a study about how public safety currently uses broadband for aviation and maritime operations and how it could be used in the future.
Hear from Teri Takai, the 2023 recipient of the Chief R. Harlin McEwen Public Safety Broadband Communications Award, as she shares her wisdom on the importance of collaboration, perseverance, and technology in public safety. Join us in celebrating her career in public service and the advances she has made for public safety.

Watch the video
Jon Olson is the FirstNet Authority Subject Matter Expert for EMS. Learn more about Jon or email him with your questions.  

*FirstNet Authority may provide hyperlinks for third-party, non-governmental websites in order to offer additional context and added value for our users. FirstNet Authority does not endorse any product or service and is not responsible, nor can it guarantee the validity or timeliness of the content on hyperlinks outside of the federal government. In addition, users may wish to review privacy notices on non-government sites since their information collection practices may differ from ours.

 

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