## 1 Introduction
gain information about our lifestyle so as to understand, control and act on it. The IoT can aid us in our daily lives [1,3]; Furthermore, IoT is suitable for smart units for ambient-assisted living. IoT technologies facilitate convenient, on-demand, and scale-network access to a pool of configurable computing resources [3, 4, 5]. Healthcare services always face challenges, including sporadic epidemics and natural disasters, and IoT can play an important role in emergency response. During the 2020 Covid-19 virus, the global communications and health data transmission have been central in government and healthcare policy responses, coordinating available medical resources and providing reliable, effective, and smart health-care services to patients. This proposed technique introduces an analytic to enable HPs to compute their performance versus hospital interaction quality with their standard measures. IoT healthcare services face some challenges, including that many different diseases can appeared at any time, such as COVID-19. The proposed approach does not focus on scenarios involving the suitability or limitations of the IoT and MANET or interior gateway protocol (IGP); rather, our aim is to offer a practical vision through which to integrate current components of IoT with some routing protocols and the IoT Smart-Rout Control algorithm (s-RCA) [6]. Thus, we have surveyed different network technologies, seeking improvements. Software for embedded devices are a key challenge in the pursuit of the desired integration. For the deployment, management, and monitoring of different platforms, we have surveyed network infrastructures. Lastly, we have several IoT middleware's to extract IoT devices with underlying heterogeneity. IoT integration provides new storage, processing, scaleability, and networking capabilities which are currently limited on the IoT due to fundamental characteristics [1]. Given the trend towards ubiquitous computing, everything is moving towards being connected to the Internet, with its data to be used for different progressive and emerging functions [3,4]. There are five key elements of the future of the Internet-processing paradigm: future Internet, cloud-housing, IoT services, data processing, and applications. These elements will affect different applications, such as healthcare services in general, and tele-surgery applications in particular. The elements differ in terms of required technologies, data representation, and standards. A new paradigm, called Health-IoT, has proposed the integration of tele-surgery and IoT to provide the interaction among network elements [7]. There is currently a push to integrate IoT with all new technology because of the huge amount of data that the IoT generates, and the demand to balance permissions for virtual links and resources with utilization and storage capacity, as well as to derive more usefulness from the data generated by the IoT and develop smart applications for end users [4,5]. The integration in healthcare systems and the routing protocol used in the network layer is the core area of concern of this paper, pertaining to the integration of healthcare services with the IoT-Healthcare system. With the purpose of integration, we provide some relations and analysis on IoT by highlighting their benefits and uses in combination. There is a lack of literature exploring the emergent and novel area of IoT-Health, but urgent need for associated practical applications, with the ever-expanding number of elderly and disabled people worldwide. There is pressing demand for a real-time health-monitoring infrastructure to analyze patient healthcare data and avoid preventable deaths. Healthcare Industrial IoT (Health-IoT) has significant potential for the realization of such monitoring goals, and facilitating surgery with less effort and more resource efficiency for emergency cases, to improve m-QoS and healthcare system efficiency. Exploiting advances in IoT technologies in developing healthcare applications is an important field of research.