Abstract
The integration of Internet of Things (IoT) technologies, particularly the Internet of Medical Things (IoMT), with wireless sensor networks (WSNs) has revolutionized the healthcare industry. However, despite the undeniable benefits of WSNs, their limited communication capabilities and network congestion have emerged as critical challenges in the context of healthcare applications. This research addresses these challenges through a dynamic and on-demand route-finding protocol called P2P-IoMT, based on LOADng for point-to-point routing in IoMT. To reduce congestion, dynamic composite routing metrics allow nodes to select the optimal parent based on the application requirements during the routing discovery phase. Nodes running the proposed routing protocol use the multi-criteria decision-making Skyline technique for parent selection. Experimental evaluation results show that P2P-IoMT protocol outperforms its best rivals in the literature in terms of residual network energy and packet delivery ratio. The network lifetime is extended by 4% while achieving a comparable packet delivery ratio and communication delay compared to LRRE. These performances are offered on top of the dynamic path selection and configurable route metrics capabilities of P2P-IoMT.