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A serious game to enhance
cardiac arrest awareness
Dr Federico SemeraroMaggiore Hospital, Bologna Italy
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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)
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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
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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.
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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)
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• 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
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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.
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The principal aim of the game is to increase awareness about cardiac arrest and to understand
correct sequence to manage cardiac arrest
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• www.viva2013.it/viva-game• Available for free
– iOS, Android, Windows, MAC OSX
Viva! game
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14th-20th October 2013Over 200 Events
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Do we live…
…in Fiction or Reality ?
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Star Trek 1966 Bluetooth 1999
Fiction or Reality
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Minority Report 2002Philip K.Dick 1956
Leap Motion 2013
Fiction or Reality
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Star Trek 1966
www.mediject.com
Fiction or Reality
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Star Trek 1987
www.relivegame.org
Fiction or Reality
August 2014
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Mini-VREM project
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Future of Health Award 2012
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Future of Health Award 2012
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Future of Health Award 2012
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Veel Dank
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Future of Health Award 2012
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Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: a randomised crossover mannequin pilot study
Resuscitation 84 (April 2013) 501– 507
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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
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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.
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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
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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
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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
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Mini-VREM project
present
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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.
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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
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RELIVE
TOURNAMENT MODEto increase CPR skill and
knowledge
STORY MODEto increase cardiac
arrest awareness
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• 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
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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
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RELIVE August 2014
relivegame.com
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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!
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Teach & Learn CPRas soon as possible because…
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Children can save lives
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