RELIVE Un videogioco per imparare la rianimazione cardiopolmonare nelle farmacie del futuro Semeraro Federico Italian Resuscitation Council, Bologna SABATO 18 APRILE ORE 16.30 – 18.30 Sala Corale INVESTIRE IN VALORI PER COSTRUIRE IL FUTURO DELLA FARMACIA Disclosure Federico Semeraro - Anaesthetist & Instructor & Geek Italian Resuscitation Council Executive Committee Viva! Campaign 2013-2015 ALS Course Director European Resuscitation Council Rellive Project Coordinator and Winner FHA RIAC & EuReCa Steering Committe Dedicated to the Next Generation Andrea was born 10th November 2010 10th November 2010 6.35 his first photo with iPhone 13th November 2010 He sleeping with music from iPod 2nd December 2010 First Skype Call Where is exactly the line between reality and fiction? Fiction or Reality Star Trek 1966 Bluetooth 1999 Fiction or Reality Blade Runner 1982 Philip K.Dick 1968 www.lightships.com Fiction or Reality Total Recall 1990 Philip K.Dick 1968 Body Scanner 2008 Fiction or Reality Minority Report 2002 Philip K.Dick 1956 Leap Motion 2010 Fiction or Reality www.mediject.com Star Trek 1966 Arresto cardiaco 2 jumbo jets cadono ogni giorno senza nessun sopravvisuto in Europa 1.000 morti al giorno ogni anno in Europa 76 morti al giorno in Europa per incidente stradale www.restartaheart.eu 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) Viva! la settimana per la rianimazione cardiopolmonare Il 14 giugno 2012 il Parlamento Europeo, prendendo atto del fatto che ogni anno oltre 400.000 persone nel Vecchio Continente sono colpite da arresto cardiaco improvviso, e che molte di queste potrebbero essere salvate da tempestivi interventi di soccorso, ha invitato gli Stati Membri a istituire una Settimana di sensibilizzazione dedicata all’arresto cardiaco, con lo scopo di migliorare la conoscenza e la formazione dei cittadini e degli operatori sanitari alla rianimazione cardiopolmonare. RELIVE Relive ha come principale obiettivo sensibilizzare la popolazione sulle tematiche riguardanti l’arresto cardiaco RELIVE TOURNAMENT MODE per sfidare gli amici e imparare la rianimazione cardiopolmonare STORY MODE per divertire e sensibilizzare Kinect Sensor - How does it works ? The sensor resolution along the vertical direction when looking at objects at 1 m distance is less than 2 mm (Viager M. Analysis of Kinect for mobile robots) RELIVE • Standard setup (PC Keyboard & Mouse) • Tournament mode setup – Full tracking setup 1 – Microsoft Kinect – Full tracking setup 2 – Intel Perceptual Computing Camera (2015) – Oculus Rift (2015) Relive Team “I dottori” Federico Semeraro: o Specialty Doctor Anaesthesia and Intensive Care Maggiore o o Hospital Bologna, Italy. Italian Resuscitation Council Executive Committee Relive Project coordinator Erga Cerchiari: o Clinical Director Anaesthesia and Intensive Care Maggiore o o Hospital Bologna, Italy. Past-President Italian Resuscitation Council. Relive Scientific Supervision “Gli ingegneri” 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 “Gli ingegneri” 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 Resuscitation 80 (2009) 489–492 “…Quelli che fanno giochi” 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 “…Quelli che fanno giochi” 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 iCPR: a new and friendly application for cardiopulmonary resuscitation training Resuscitation 82 (2011) 436–441 Viva CPR! Applicazione dedicata alla diffusione nella popolazione generale delle manovre di RCP con sole compressioni: • iOS, iPhone, iPad • Windows 8 • Android IRC Executive Committe 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). B/R Competition May Baseline March B/C Retention Sept 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 Median response (65): 3 Somewhat disagree Q2 The feedback that you received from Relive game on your chest compressions performance during 2 minutes of CPR were clear Median response (65): 6 Agree 1 - Strongly disagree 2 - Disagree 3 - Somewhat disagree 4 - Neither agree or disagree 5 - Somewhat agree 6 - Agree 7 -Strongly 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 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 1 - Strongly disagree 2 - Disagree 3 - Somewhat disagree 4 - Neither agree or disagree 5 - Somewhat agree 6 - Agree 7 -Strongly 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 The Future • Relive International launch • Relive Netherlands Study • ERC collaboration in several countries • European Restart Heart Day 2015 relivegame.com Teach CPR as soon as possible If you can't change the rules, then ignore them (Peter Safar) [email protected]