Relive: a game

to learn how to save lives

Dr Federico Semeraro

Italian Resuscitation Council, Bologna Italy

Luca Marchetti

CEO Studio Evil, Bologna Italy

Dedicated to the Next Generation

Andrea was born 20th November 2010

20th November 2010 6.35 his first photo with iPhone

2nd December 2010 First Skype Call Bologna-Porto

21st November 2010 Andrea’s Secret Facebook Group

23th November 2010 Andrea slept with music from iPod

2 full jumbo jets crashing with

no survivors each and every day.

Cardiac Arrest

www.restartaheart.eu

1,000 deaths per day every day of the year across Europe.

Bystanders CPR

• Sweden 55% (Norderg et al. 2005)

• Amsterdam 54% (Koster et al. 2001)

• Seattle 52% (EMS Report 2012)

• London 36.7% (London Ambul.Serv. NHS 2011)

• US 32% (AHA 2012)

• Bologna 11% (118 Bologna 2011)

• Milano 11% (Morici et al. 2010)

• Europe 11% (ERC 2013)

European Restart a Heart day

Mini-VREM project

Future of Health Award 2012

Future of Health Award 2012

Veel Dank

Motion detection technology as a tool for cardiopulmonary resuscitation

(CPR) quality training: a randomised crossover mannequin pilot study

Resuscitation 84 (April 2013) 501– 507

Motion detection technology as a tool for cardiopulmonary

resuscitation (CPR) quality training: a randomised crossover

manikin pilot study

Conclusions

The Mini-VREM system was able to improve

significantly the quality of chest compressions,

in terms of compression rate and depth,

performed by healthcare professionals and lay people

in a simulated cardiac arrest scenario.

The system was perceived as easy to use and

providing an effective feedback.

Mini-VREM project

present

Federico Semeraro: o Specialty Doctor Anaesthesia and Intensive Care

Maggiore Hospital Bologna, Italy.

o Italian Resuscitation Council Executive Committee

o Relive Project coordinator

Erga Cerchiari:o Clinical Director Anaesthesia and Intensive Care

Maggiore Hospital Bologna, Italy.

o Past-President Italian Resuscitation Council.

o Relive Scientific Supervision

“The doctors”

Antonio Frisoli:o Associate Professor, PERCRO Laboratory, Scuola

Superiore Sant'Anna Pisa, Italy. Relive Tracking engine

coordinator & scientific supervisor

Claudio Loconsole:o Eng. PhD, PERCRO Laboratory, Scuola Superiore

Sant'Anna Pisa, Italy. Relive Tracking engine developer

“The Engineers”

Fabio Stroppa:o Reserch Fellow, PERCRO Laboratory, Scuola

Superiore Sant'Anna Pisa, Italy. Relive Tracking

engine developer

Nicola Mastronicola:o Research Fellow, PERCRO Laboratory, Scuola

Superiore Sant'Anna Pisa, Italy. Relive Tracking

engine developer

“The Engineers”

Luca Marchetti:o Studio Evil CEO

o Relive Game Development coordinator

Marco Di Timoteo:o Studio Evil art director, lead designer

o Relive Game Design

“…and Game Dev”

Christian Meneghini:o Studio Evil CTO

o Relive Game Technical Artist

Luca Salmin:o Studio Evil Senior Developer

o Relive Game Tools and Game play programmer

“…Game Dev”

IRC Executive Committe

RELIVE

RELIVE is a game about cardiopulmonary resuscitation.

The main purpose of this game is to increase the awareness about this

topic and push people, especially teenagers and young adults, to take

a CPR class and be prepared to intervene in case of need.

The idea is to create a fun and entertaining game, a SCI-FI opera, to

gather the attention of the audience, and let the CPR concept slip

through the game.

During the game the player is forced to learn the basis of CPR to move

forward in the story, in an interesting and non-invasive way.

To keep the CPR skills razor sharp and for a fun and fast CPR

challenge a tournament mode will encourage group play.

Family, schools and groups will challenge themselves to beat the best

score.

RELIVE

RELIVE

TOURNAMENT MODE

to increase CPR

skill and knowledge

STORY MODE

to increase cardiac

arrest awareness

• Standard setup (PC Keyboard & Mouse)

• Tournament mode setup – Full tracking setup 1 – Microsoft Kinect

– Full tracking setup 2 – Intel Perceptual Camera (2015)

– Oculus Rift (2015)

RELIVE

Relive Study

• Baseline CPR knowledge and skill of target groups (March 2014)

collecting data from a selected target group as a baseline knowledge

(MCQ) and CPR skills (CPR quality data):

– MCQ about cardiac arrest, CPR and algorithm BLS & AED;

– 2 minute CPR without any previous training (quality data collected

with Relive)

• Game Phase - Target group play with RELIVE game (May 2014)

– Target groups played with RELIVE in the competition mode

directly at school; the mission of the target groups was to

participate to a 2-minute CPR competition.

– Only one session of 2-minute CPR competition

Relive Study

• Retention collecting data from the same target groups about

CPR skills (CPR quality data) and knowledge (MCQ) (Sept 2014):

– MCQ about cardiac arrest, CPR and algorithm BLS & AED

– 2 minute CPR (quality data collected with Relive).

Baseline

March

Competition

MayRetention

Sept

B/C

B/R

Relive Study B/C

• Baseline (based on 65 students):– Mean compression rate (cpm): 92±34

– Mean compression depth (mm): 29±12

• Competition (based on 65 students):– Mean compression rate (cpm): 111±10

– Mean compression depth (mm): 46±8

• ERC GL: rate 100-120 cpm & depth 50-60 mm

• t student baseline vs competition– Mean compression rate p < 0.0001

– Mean compression depth p < 0.0001

Relive Study B/R

• Baseline (based on 52 students):– Mean compression rate (cpm): 97±35

– Mean compression depth (mm): 30±11

• Retention (based on 52 students)– Mean compression rate (cpm): 133±39

– Mean compression depth (mm): 47±15

• ERC GL: rate 100-120 cpm & depth 50-60 mm

• t student baseline vs retention– Mean compression rate p < 0.0001

– Mean compression depth p < 0.0001

RELIVE

RELIVE TOURNAMENT MODE EVALUATION

Relive Study

Q1 It was difficult to use Relive in the competition mode

1 - Strongly disagree

2 - Disagree

3 - Somewhat disagree

4 - Neither agree or disagree

5 - Somewhat agree

6 - Agree

7 -Strongly agree

Median response (65): 3 Somewhat disagree

Q2The feedback that you received from Relive game on

your chest compressions performance during 2

minutes of CPR were clear

Median response (65): 6 Agree

Relive Study

Q3 Relive helped you to perform a chest compression rate

between 100 and 120 compressions per minute as

recommended by 2010 guidelines

1 - Strongly disagree

2 - Disagree

3 - Somewhat disagree

4 - Neither agree or disagree

5 - Somewhat agree

6 - Agree

7 -Strongly agree

Median response (65): 6 Agree

Q4 Relive helped you to perform a chest compression

depth between 50 and 60 millimeters as

recommended by 2010 guidelines

Median response (65): 6 Agree

Relive Study

Relive game competition evaluation (2 Italian Schools)

65 students Q1 Q2 Q3 Q4

3 6 6 6

Relive Study

Relive game competition evaluation (Public Place Event Bologna)

33 students Q1 Q2 Q3 Q4

3 6 6 6

Relive Study

Relive game competition evaluation (IRC Congress Naples)

34 HPs Q1 Q2 Q3 Q4

3 6 6 6

Testing & Outcome

Primary outcome:

• increase awareness about cardiac arrest and CPR in TG

• > 70% in TG

Secondary outcome:

• a significant improvement of CPR knowledge in TG

• > 50% in TG

• a significant improvement of CPR skills in TG• Improve significantly CPR skill quality data pre-post

- chest compression rate and depth baseline (pre) vs post (feedback)

The game will accomplish the compliance objective if the primary

outcome and at least one of the secondary outcome are reached.

TG Target Group

Relive Study

Secondary outcome:

• a significant improvement of CPR knowledge in TG

> 50% in TG

MCQ (10 questions) – 52 students

Baseline 46±13 vs Retention 62±13 p ≤ 0.01

Students 38/52 (improvement in 73% of target group)

• a significant improvement of CPR skills in TGImprove significantly CPR skill quality data pre-post

- chest compression rate and depth baseline (pre) vs retention (post)

Relive Study B/R

• Baseline (based on 52 students):– Mean compression rate (cpm): 97±35

– Mean compression depth (mm): 30±11

• Retention (based on 52 students)– Mean compression rate (cpm): 133±39

– Mean compression depth (mm): 47±15

• t student baseline vs retention– Mean compression rate p < 0.0001

– Mean compression depth p < 0.0001

– Students 38/52 (improvement in 73% of target group)

Testing & Outcome

Primary outcome:

• increase awareness about cardiac arrest and CPR in TG

> 70% in TG

CPR Knowledge improvement in 73% of target group

CPR Skill improvement in 73% of target group

The game will accomplish the compliance objective if the primary

outcome and at least one of the secondary outcome are reached.

• Relive International launch

• Relive Netherlands Study

• ERC collaboration in several countries

• European Restart Heart Day 2015

The Future

relivegame.com