A serious game to enhance

cardiac arrest awareness

Dr Federico SemeraroMaggiore Hospital, Bologna Italy

Disclosure

Federico Semeraro - Anaesthetist / Educator / GeekItalian Resuscitation Council Executive Committee

Viva! Campaign Scientific CommitteeEducator European Resuscitation Council

Mini-VREM Project Coordinator and Winner FHA (http://www.mini-vrem.it)

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. By comparison, 28,000 people die across Europe each year in road

accidents, but despite this the figure invested in road and car safety each year is much higher than that invested in CPR.

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)

• On June 14th, 2012, a declaration from the European Parliament called for a week of cardiac arrest awareness, to be held throughout Europe.

• The Italian Resuscitation Council (IRC) has answered to this call and planned a series of structured projects to best organize the week of awareness in Italy (October 14th-20th 2013), the so called “Viva!” week (www.viva2013.it).

• Viva is an Italian word meaning both “alive” and “long life for”

Cardiac Arrest Awareness Week

Viva! game

The game has different interacting scenarios (stadium, school and home).

The player find himself in the need to perform a CPR to save another character from cardiac arrest and being able to pass to the next level.

The principal aim of the game is to increase awareness about cardiac arrest and to understand

correct sequence to manage cardiac arrest

• www.viva2013.it/viva-game• Available for free

– iOS, Android, Windows, MAC OSX

Viva! game

14th-20th October 2013Over 200 Events

Do we live…

…in Fiction or Reality ?

Star Trek 1966 Bluetooth 1999

Fiction or Reality

Minority Report 2002Philip K.Dick 1956

Leap Motion 2013

Fiction or Reality

Star Trek 1966

www.mediject.com

Fiction or Reality

Star Trek 1987

www.relivegame.org

Fiction or Reality

August 2014

Mini-VREM project

Future of Health Award 2012

Future of Health Award 2012

Future of Health Award 2012

Veel Dank

Future of Health Award 2012

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

With feedback (n = 17625) Without Feedback (n=16504) p-value

n % n %

Adequate Compressions a 6307 35,78 1200 7,27 p < 0.001

Correct compression rate 12698 72,04 5186 31,42 p < 0.001

Correct compression depth 8344 47,34 4105 24,87 p = 0.002

Too deep compression 859 4,87 3008 18,22 p = 0.008

Too shallow compression 8422 47,78 9391 56,90 p = 0.26

Overall performance results with and without Mini-VREM feedback

a Compression rate between 100-120 cpm and compression depth between 50-60 mm

Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: a

randomised crossover manikin pilot study

ConclusionsThe 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.

Team - Medical Knowledge

Federico Semeraro: o Specialty Doctor Anaesthesia and Intensive Care

Maggiore Hospital Bologna, Italy. o Italian Resuscitation Council Executive Committeeo Mini-VREM Project coordinator

Erga Cerchiari: o Clinical Director Anaesthesia and Intensive Care

Maggiore Hospital Bologna, Italy. o Past-President Italian Resuscitation Council. o Mini-VREM Scientific Supervision

Team - Tracking Engine

Antonio Frisoli:o Associate Professor, PERCRO Laboratory, Scuola

Superiore Sant'Anna Pisa, Italy. Mini-VREM Tracking engine coordinator & scientific supervisor

Claudio Loconsole:o PhD, PERCRO Laboratory, Scuola Superiore Sant'Anna

Pisa, Italy. Mini-VREM Tracking engine developer

Massimo Bergamascoo Full Professor, PERCRO Laboratory, Scuola Superiore

Sant'Anna Pisa, Italy. Mini-VREM Tracking engine scientific supervisor

Team - Game Development

Luca Marchetti:o Studio Evil CEOo Mini-VREM Game Development coordinator

Marco Di Timoteo:o Studio Evil art director, lead designero Mini-VREM Game Design

Christian Meneghini:o Studio Evil CTOo Mini-VREM Game Development supervisor

Mini-VREM project

present

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 MODEto increase CPR skill and

knowledge

STORY MODEto increase cardiac

arrest awareness

• Standard setup (PC Keyboard & Mouse)

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

– Full tracking setup 2 – Intel Perceptual Computing Camera

– Paired phone

RELIVE

Concept: 30/09/2013

Deployables: concept document, concept art, draft of level design

Design: 30/11/2013

Deployables: level design, rough game prototype, first tracking technology/game integration

Building: 30/04/2014

Deployables: playable game beta, tracking technology/game full integration.

Testing: 30/06/2014

Deployables: completion of game art, active testing, polish

Completion: 31/08/2014

Deployables: polish, full game release

Roadmap

RELIVE August 2014

relivegame.com

Peter Safar’s Laws

http://www.ccm.pitt.edu/peters-laws

If you can't win, change the rules

If you can't change the rules, then ignore them

When in doubt, think!

Teach & Learn CPRas soon as possible because…

Children can save lives