COMAC Meeting Year 2
EMuRgency project
Dr. Marco Kalz
X
Kalz et al., 2013
The EMuRgency activities
• WP1: Project coordination
• WP2: Design, development, testing and
implementation of a notificat...
WP1 Project Coordination
•
•
•
•
•
•
•
•

Reporting
Financial contact & financial reporting
Establishment of a communicati...
WP2 Volunteer Notification System
•
•
•
•
•

Technical development of VNS (server + app)
Piloting & Evaluation
Integration...
Components of the VNS
User registration
Android app Iogin and activity stream
Case initializer
Android app locked case and open case with volunteers
Evaluation and implementation of the EMuRgency VNS
The Evaluation and implementation of the EMuRgency VNS will be done
wit...
1. Evaluation of VNS by volunteers
› Requirements analysis with volunteers that have already experienced the Hartslag Nu
s...
2. Field test with volunteers under realistic conditions
› Evaluate the VNS under close-to-real conditions by sending test...
3. Implementation of VNS
› The VNS is implemented into the working system from Hartslag voor Limburg:

» Add the VNS case ...
Legal reviews: Germany
• Germany: VNS as a special case of a FirstResponder-System that needs to be implemented
by the EMS...
Legal reviews: Belgium
• Belgium: Today it is not possible for the uniform
call system for urgent medical care to alert
so...
Legal reviews: Belgium
• However, to make the intervention by the EMuRgency notification system
or the EMuRgency volunteer...
WP3 Educational Innovations
•
•
•
•

E-Learning (open content, open access)
Mobile App
Serious Game: HeartRun
AED pointer:...
EMuRgency E-Learning
EMuRgency E-Learning
EMuRgency E-Learning
EMuRgency E-Learning: Next steps
• Finalize translations and adaptations
• Study at CHR Citadelle with focus on
profession...
EMuRgency Mobile Learning App
• 1st step: Market study existing apps
• 2nd step: Prototype development EMuRgency
app
EMuRgency Mobile Learning App Study
EMuRgency Mobile Learning App Study

Kalz et al, submitted
EMuRgency Mobile Learning App
Next steps
• Finalization and translation
• 2014 study about effects for retention times
• Integration in EMuRgency app?
Serious Game: HeartRun
Serious Game: HeartRun
• Addition to school training
• Focus on self-efficacy
• Motivational trigger
Serious Game: HeartRun
Why mobility?
• Location-based
• Role-based
• Authenticity
Serious Game: HeartRun
Simulates a real situation
Requires the recall of BLS
related knowledge immediately and correctly
I...
Next steps HeartRun
•
•
•
•

Finalization and translation
First formative feedback collected
Design & gameplay improved
Da...
• 3 possible actions
– Recording his own AED
– Signalling an AED not yet recorded
– Signalling an error
(AED not available...
• At this moment
– 665 recorded AED’s
(B : 637, G : 29, Nl : 0)
– >22.000 visitors
Promotional posters
(FR/DE/NL)
• Perspectives
– Develop new or better functions :
• changing colour of icons depending on time of availability
• Applicat...
WP4 School training
• Approx. 10 000 school children in secondary
schools trained (+ 3000 during public event)
• Mass trai...
WP4 School training
• On-site training, computer-supported training,
blended learning
• Question of effectiveness and effi...
WP5 PR & Events
• Focus communicating the goals, results and
products of the project
• 2 Websites in 4 languages
• Faceboo...
WP5 PR & Events
PR Activities
• Public training for 3081
people in Aachen
• Cooperation with
companies & organisations
• Feature on WDR, A...
• 10 hours of
resuscitation activities
• EMuRgency symposium
• EMuRgency booth
• Feature in Limburg 1,
newspapers, social
...
•
•
•
•
•

Scientific workshop
Focus on exploitation
Similar projects
Very useful feedback
Contact to exploitation
special...
EMuRgency petition
Scientific Output
•
•
•
•

4 journal papers/conference full papers
10 abstracts and short papers for conferences
4 papers ...
WP6: Ambient & public displays
• Focus on increasing awareness & knowledge of
the general public
• Two application context...
WP6: Ambient & public displays

Börner, Kalz, & Specht, submitted

50
50
WP6
Gonzalo Parra@KU Leuven
Gonzalo Parra@KU Leuven
Gonzalo Parra@KU Leuven
WP6: Ambient & public displays

55
55

Joris Klerkx@KU Leuven
WP6: Ambient & public displays

56
56

Joris Klerkx@KU Leuven
http://as-emurgency.appspot.com/
WP6: Ambient & public displays
Success Indicators according to plan
Success Indicators according to plan
Quality Assurance
26.9.2013: Advisory Board Meeting with two external advisors:
• Prof. Dr. Koen Monsieur (Professor of Em...
Quality Assurance
• Positive about results
• Will support exploitation phase
• Input for ERC panel & discussion with Europ...
Initiatives for final project year
• Finalization of research, development and
implementation activities
• Improvement of ...
Initiatives for final project year
• Increasing contact with critical partners (e.g.
European Resuscitation Council, Natio...
THANK YOU FOR YOUR ATTENTION
EMuRgency: New approaches for resuscitation support and training - 2nd year review
EMuRgency: New approaches for resuscitation support and training - 2nd year review
EMuRgency: New approaches for resuscitation support and training - 2nd year review
EMuRgency: New approaches for resuscitation support and training - 2nd year review
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EMuRgency: New approaches for resuscitation support and training - 2nd year review

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Kalz, M. (October 7, 2013). COMAC meeting year 2 EMuRgency project. Presentation provided during the internal advisory board meeting. Heerlen, The Netherlands.

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EMuRgency: New approaches for resuscitation support and training - 2nd year review

  1. 1. COMAC Meeting Year 2 EMuRgency project Dr. Marco Kalz
  2. 2. X
  3. 3. Kalz et al., 2013
  4. 4. The EMuRgency activities • WP1: Project coordination • WP2: Design, development, testing and implementation of a notification system for first aid support • WP3: Educational innovations for resuscitation training (mobile & game based learning) • WP4: Setup of a EMR school network for resuscitation training • WP5: Setup of a stakeholder network in the EMR region • WP6: Development, evaluation and implementation of interactive displays to increase awareness
  5. 5. WP1 Project Coordination • • • • • • • • Reporting Financial contact & financial reporting Establishment of a communication infrastructure Consortium meetings & monthly meetings Mix of face-to-face & online meetings External representation of project Networking with related initiatives Exploitation & sustainability
  6. 6. WP2 Volunteer Notification System • • • • • Technical development of VNS (server + app) Piloting & Evaluation Integration of external components Interfaces to dispatch centers Legal reviews
  7. 7. Components of the VNS
  8. 8. User registration
  9. 9. Android app Iogin and activity stream
  10. 10. Case initializer
  11. 11. Android app locked case and open case with volunteers
  12. 12. Evaluation and implementation of the EMuRgency VNS The Evaluation and implementation of the EMuRgency VNS will be done with the following three steps: 1. Evaluation of the VNS by volunteers from the Hartslag voor Limburg network 2. Field test with volunteers under realistic conditions 3. Implementation of VNS and simultaneous use of both systems
  13. 13. 1. Evaluation of VNS by volunteers › Requirements analysis with volunteers that have already experienced the Hartslag Nu system: » Retrieve information about how a user experiences the notification system under real conditions » Gather requirements and suggestions for improving the VNS directly from users who have a strong idea about how an emergency with a notification system works » Potentially develop new ideas for features the VNS should have in order to further the quality of the VNS
  14. 14. 2. Field test with volunteers under realistic conditions › Evaluate the VNS under close-to-real conditions by sending test notifications to actual volunteers: » Selected volunteers receive a test notification and simulate the whole procedure (possibly incl. CPR) » Data like number of respondents, time to arrival etc. is collected » Opportunity for joint study and publication
  15. 15. 3. Implementation of VNS › The VNS is implemented into the working system from Hartslag voor Limburg: » Add the VNS case initializer as an additional recipient for the Hartslag voor Limburg SMS. » The VNS server interprets the SMS and converts it into a notification for the EMuRgency system. » Both systems can be used simultaneously, whereby the already achieved high quality of the provided care is not threatened. » Evaluation of emergencies and possible improvement of the system until a satisfying status is reached.
  16. 16. Legal reviews: Germany • Germany: VNS as a special case of a FirstResponder-System that needs to be implemented by the EMS with all duties, advantages & disadvantages • Requirements of first responders: 50 training hours, certification, yearly update, equipment • Political question -> Recommendation to talk to the health ministry in NRW
  17. 17. Legal reviews: Belgium • Belgium: Today it is not possible for the uniform call system for urgent medical care to alert someone else, such as e.g. a volunteer. BUT: • The Act of 8 July 1964 leaves an opening to include the EMuRgency notification system into the described uniform call system for urgent medical care.
  18. 18. Legal reviews: Belgium • However, to make the intervention by the EMuRgency notification system or the EMuRgency volunteer possible, a Royal Decree is necessary. • After all, during the parliamentary preparation of article 6bis of the Act of 8 July 1964, the petitioners of the bill of law leading to this article, stated that the other possible interveners to be designated by the King, not necessarily have to be health practitioners. • With this in mind, it can be interesting to approach the provincial Commissions for Urgent Medical Care or the National Council for Urgent Medical Care . These are authoritative and advisory bodies within the uniform call system for urgent medical care, which could assist the EMuRgency consortium with the implementation of its plans.
  19. 19. WP3 Educational Innovations • • • • E-Learning (open content, open access) Mobile App Serious Game: HeartRun AED pointer: Crowdsourcing of AED locations in the region
  20. 20. EMuRgency E-Learning
  21. 21. EMuRgency E-Learning
  22. 22. EMuRgency E-Learning
  23. 23. EMuRgency E-Learning: Next steps • Finalize translations and adaptations • Study at CHR Citadelle with focus on professionals • Integration of E-Learning into public EMuRgency website (Mid 2014) • Publication of content under a Creativecommons license, allowing others to adapt it
  24. 24. EMuRgency Mobile Learning App • 1st step: Market study existing apps • 2nd step: Prototype development EMuRgency app
  25. 25. EMuRgency Mobile Learning App Study
  26. 26. EMuRgency Mobile Learning App Study Kalz et al, submitted
  27. 27. EMuRgency Mobile Learning App
  28. 28. Next steps • Finalization and translation • 2014 study about effects for retention times • Integration in EMuRgency app?
  29. 29. Serious Game: HeartRun
  30. 30. Serious Game: HeartRun • Addition to school training • Focus on self-efficacy • Motivational trigger
  31. 31. Serious Game: HeartRun Why mobility? • Location-based • Role-based • Authenticity
  32. 32. Serious Game: HeartRun Simulates a real situation Requires the recall of BLS related knowledge immediately and correctly Integrates tasks and questions
  33. 33. Next steps HeartRun • • • • Finalization and translation First formative feedback collected Design & gameplay improved Data collection started (ca. 150 data sets needed)
  34. 34. • 3 possible actions – Recording his own AED – Signalling an AED not yet recorded – Signalling an error (AED not available anymore, false location,…)
  35. 35. • At this moment – 665 recorded AED’s (B : 637, G : 29, Nl : 0) – >22.000 visitors
  36. 36. Promotional posters (FR/DE/NL)
  37. 37. • Perspectives – Develop new or better functions : • changing colour of icons depending on time of availability • Applications for Smartphone with GPS location – How to validate its content? – How to become an official tool for PAD programs?
  38. 38. WP4 School training • Approx. 10 000 school children in secondary schools trained (+ 3000 during public event) • Mass training (40 – 80 participants) • Support by medical students • 3 different educational designs
  39. 39. WP4 School training • On-site training, computer-supported training, blended learning • Question of effectiveness and efficiency
  40. 40. WP5 PR & Events • Focus communicating the goals, results and products of the project • 2 Websites in 4 languages • Facebook & Twitter • Public events & scientific events • Flyers, posters etc. • Project stand
  41. 41. WP5 PR & Events
  42. 42. PR Activities • Public training for 3081 people in Aachen • Cooperation with companies & organisations • Feature on WDR, Aachener Zeitung etc.
  43. 43. • 10 hours of resuscitation activities • EMuRgency symposium • EMuRgency booth • Feature in Limburg 1, newspapers, social media
  44. 44. • • • • • Scientific workshop Focus on exploitation Similar projects Very useful feedback Contact to exploitation specialist
  45. 45. EMuRgency petition
  46. 46. Scientific Output • • • • 4 journal papers/conference full papers 10 abstracts and short papers for conferences 4 papers submitted or in preparation Plus approx. 3 – 5 papers for the final project year
  47. 47. WP6: Ambient & public displays • Focus on increasing awareness & knowledge of the general public • Two application contexts: Semi-public/Public • Attention-aware displays/MirrorWiz • Display network
  48. 48. WP6: Ambient & public displays Börner, Kalz, & Specht, submitted 50 50
  49. 49. WP6
  50. 50. Gonzalo Parra@KU Leuven
  51. 51. Gonzalo Parra@KU Leuven
  52. 52. Gonzalo Parra@KU Leuven
  53. 53. WP6: Ambient & public displays 55 55 Joris Klerkx@KU Leuven
  54. 54. WP6: Ambient & public displays 56 56 Joris Klerkx@KU Leuven
  55. 55. http://as-emurgency.appspot.com/
  56. 56. WP6: Ambient & public displays
  57. 57. Success Indicators according to plan
  58. 58. Success Indicators according to plan
  59. 59. Quality Assurance 26.9.2013: Advisory Board Meeting with two external advisors: • Prof. Dr. Koen Monsieur (Professor of Emergency Medicine, Director Guidelines and ILCOR, European Resuscitation Council (2011-), Honorary Secretary, International Liaison Committee On Resuscitation (ILCOR) (2011-) ) • Dr. med. Max Skorning (Specialist in Anaesthesiology and Prehospital Emergency Medicine, Leading consultant in "patient safety" for MDS (Medical advisory service of social health insurance, Germany), Member executive committee of the GRC (German Resuscitation Council))
  60. 60. Quality Assurance • Positive about results • Will support exploitation phase • Input for ERC panel & discussion with European Commission (16 October)
  61. 61. Initiatives for final project year • Finalization of research, development and implementation activities • Improvement of PR of the project • Exploitation of results • Strategic activities addressing legal barriers
  62. 62. Initiatives for final project year • Increasing contact with critical partners (e.g. European Resuscitation Council, National Resuscitation Councils) • Preparation for follow-up project • Exploration of new organisation (e.g. eingetragener Verein) to sustain activities
  63. 63. THANK YOU FOR YOUR ATTENTION

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