E.R.I.C.A.
Electroencephalographic Resuscitation Index Computer Aided
Roberto Mancin
a study about mutism in
Pediatric Intensive Care Unit (PICU)

Input
Sensory
Output
Free will Motor
Child-Computer-Interaction
First Inch
MUTE
MUTE
MUTE
01011

Last mile
Sensory Free will
ASG EEG
Last mile vs First inch in PICU
First Inch

ERICA: a study about mutism in PICU
• Access to Assistive/Augmentative Serious
Game (ASG) by children who can hear but
cannot talk
• Medical: inopportunity to speak but can hear
• Selective: inability to speak but can hear
• LIS (akinetic): voiceless and paralyzed but…
• CLIS: Complete Locked-In Status but ???
• Brain death

29/8/1992: from bike to coma

From Deep Coma to Recovery
Deep Coma
Arosual (eye opening)
Awareness (no reflex movements)
Phase 0: inability to answer: yes/no/?
Phase 1: ability only to answer: yes/no/?
Out of ICU
(…)
Out of hospital
(…)
Recovery

Phase 0

Demo: youtu.be/e-u7_F5GNTE

ERICA
Electroencephalographic Resuscitation
Index Computer Aided
• It is assumed that the
younger is the patient the
more severe and potentially
irreversible are traumatic
effects

ERICA
Electroencephalographic Resuscitation
Index Computer Aided
• In phase 0 awarness level is
variable with time
• A Computer Aided Index is a
very important tool
• to evaluate awarness
level in PICU many times
during the day
• to listen to the deep…

Questions?