Virtual Reality for CPR training

1. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Federico Semeraro, MD, FERC Maggiore Hospital Bologna, Italy Virtual Reality for CPR training

2. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Conflict of Interest SEC BLS co-chair & FERC European Resuscitation Council ILCOR Digital Comunication Working Group Past-President Italian Resuscitation Council & EuReCa National Coordinator Star Wars & Star Trek addicted

3. Dedicated to the Next Generation Viola was born 14th February 2018 18th August 2018 First Augmented Reality 20th April 2018 Viola slept with music from YouTube 14th February 2018 her first photo with iPhone

4. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Captain’s Log History of Virtual Reality Taxonomy of Virtual Reality Virtual vs Augmented Reality Future of VR/AR Virtual Reality on Pubmed VR CPR Italian Resuscitation Council Future plans

5. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality: definition “an artificial environment which is experienced through sensory stimuli (as sights and sounds) provided by a computer and in which one’s actions partially determine what happens in the environment.” www.merriam-webster.com

6. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality: the Father The term ‘virtual reality’ was coined by Jaron Lanier in 1987 during a period of intense research activity into this form of technology. www.jaronlanier.com

7. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality History Timeline

8. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Real-virtual continuum

9. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Augmented Reality Star Wars, 1977 & Lenovo 2017

10. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality

11. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 VR Headsets Top 4

12. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Healthcare VR

13. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality (VR) on PubMed

14. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality (VR) on PubMed Virtual Reality: 8591 publications Virtual Reality and Resuscitation: 15 publications Virtual Reality and CPR: 8 publications Virtual Reality and cardiac arrest: 5 publications Virtual Reality and Rehabilitation: 1638 publications Virtual Reality and Surgery: 2466 publications Virtual Reality and Orthopedics: 75 pubblications I have a fracture, I need to fix it

15. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality vs Standard Experience Roller Coaster Experimental Prospective Study (RCEPS)

16. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 VR & AR CPR experience

17. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Lifesaver VR

18. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 We received 258 responses from 18 countries. The background of participants was: key person in national resuscitation council, educator, instructor and members of the ERC Research NET

19. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Do you believe virtual reality could play a role in the future of training?

20. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Do you believe virtual reality could works better with some target groups?

21. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality Enhanced Mannequin (VREM) Semeraro et al. Resuscitation 80 (2009) 489–492

22. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality Enhanced Mannequin (VREM)

23. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 The aim of VR CPR project would be to use a self-directed learning station BLS and AED. VR CPR is an assisted learning mode for CPR procedures. In this mode the learner will follow the tutorial to learn how to correctly perform CPR and use AED. The tutorial takes place in a special environment, where an overlay will show the steps for the procedure. All the tutorial sessions are tracked and the learner receives a feedback about the quality of the CPR procedure. Virtual Reality CPR Italian Resuscitation Council

24. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 A WINNING SOLUTION BOTH FOR GENERAL POPULAITON AND HEALTHCARE PROFESSIONALS GENERAL POPULATION & KIDS HEALTHCARE PROFESSIONALS Opportunity to spread knowledge about the CPR in a ludic way Very immersive and engaging experience Every training center use the technology Possibility to train and retraining healthcare professionals very quickly

25. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Fund raising: End 2016, first quarter 2017 VR project development 2017 Official presentation ERC Congress 2018, Bologna Final version available in December 2018 Timing VR CPR Project

26. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 IRC Booth

27. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Fund Raising Gold Sponsor Silver Sponsor Bronze Sponsor

28. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Italian Resuscitation Council Scientific Supervision Giuseppe (Frodo) Ristagno, Andrea (Aragorn) Scapigliati & Federico (Legolas) Semeraro The Lord of the Rings: The Fellowship of the ERC

29. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Studio Evil VR Development

30. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 VR CPR HTC Vive for Training Center

31. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 VR CPR for HTC Vive & Mixed Reality Home version

32. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 VR CPR Oculus Go Mobile Version

33. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Out Of Hospital Adult Cardiac Arrest Scenario Chest compression only and defibrillation scenario Location: Santo Stefano Square Virtual Reality CPR Italian Resuscitation Council

34. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 In Hospital Adult Cardiac Arrest Scenario Adult Basic Life Support Defibrillation Virtual Reality CPR Italian Resuscitation Council

35. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Out Of Hospital Pediatric Cardiac Arrest Scenario Pediatric Basic Life Support Defibrillation Virtual Reality CPR Italian Resuscitation Council

36. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality CPR Italian Resuscitation Council

44. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Festival Tous Engagés #FTE18 Testing in Real life

45. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Virtual Reality cardiopulmonary resuscitation (CPR) experience: a tool for quality training in resuscitation Unpublished Data • The VR CPR was tested in 43 users. • Medical students at first year of medicine and surgery degree. • All students were ERC BLS provider from 2018. • The sample consisted of 25 (58%) male and 18 (42%) women • Average age of 21±3 years and BMI 22±2. University of Bologna Medical Students Testing in Real life

46. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 University of Bologna Medical Students Testing in Real life The Bland–Altman plot of chest compression depth and chest compression rate (Resusci Anne vs. VR CPR) in the 43 students performance of 120 s chest compressions only-CPR.

47. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Future Plans • Quality-BLS VR courses: pilot courses from October 2018 • VR CPR for WRAH events in Roma 16th October 2018 • Publication on Steam Store & Oculus Go Store • Research on virtual reality training vs standard training

49. #LLAP www.ircouncil.it/LLAP

50. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Kids save lives & WRAH

51. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 Teach & Learn CPR as soon as possible

52. 20 - 22September • Bologna • Italy New technologies in resuscitation RESUSCITATION 2018 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!

53. THINK OUTSIDETHE BOX

Virtual Reality for CPR training

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Virtual Reality for CPR training

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