http://emurgency.eu/




    The EMuRgency project
New approaches for resuscitation support and training

     Joris Klerkx, Human-Computer Interaction Lab(HCI)
                @jkofmsk - joris.klerkx@cs.kuleuven.be




            LICT Industrial Affiliation Day - 10.02.2012
HUMAN COMPUTER INTERACTION LAB

             Technology Enhanced
                  Learning

                                           Awareness & Sense-making
                                                            prof. Erik Duval


e-health                           Music   Computer Graphics
                                                            prof. Phil Dutré

                                           Language Intelligence &
                                            Information Retrieval
                 Research 2.0                               prof. Sien Moens




“Flexible Interaction between people and information”
FACT


          If you get a cardiac arrest
             outside the hospital...



  You have a survival chance of
            5 à 10%
FACTS

        Chances for survival…

              … increases through
              immediate CPR to 50 à 70%

              ... decreases every minute
              without CPR with +/- 10%

              ... is almost zero after 10
              minutes without CPR

                              http://hartveilig.rodekruis.be/
The EMuRgency Rationale
     A 36M socio-technological innovation project in e-health


                           •   +/- 50 reanimations per week
                               by emergency services

                           •   Only 8-10 people survive

                           •   15-20 could potentially survive if

                               •   Immediate help by layman

                               •   Earlier professional help

  http://emurgency.eu/
DECREASE TIME BETWEEN CARDIAC
ARREST & START OF RESUSCITATION
                       “Provide faster help”




               time
BEST SCENARIO

           Imagine you are walking on the street, and suddenly
           you hear ambulance sirens. The sound keeps getting
           closer, and to your surprise, the ambulance stops next
           to you. A paramedic gets out and says: “Quick, get
           inside, you're about to have a heart attack!"

           By: Luís Paulo Salvado, Novabase CEO




http://www.novabase.pt/en/Connect/OpinionArticles/Pages/Theinternetofthings.aspx
DETECTING CARDIAC ARREST




 Pacemakers, heart-rate watches, smart clothing, ....
     But also: witnesses of accident calling 112
http://quantifiedself.com/2011/02/hit-%E2%80%93-health-internet-of-things/
NOTIFICATION SYSTEM



                   Ringh Mattias, Fredman David, Nordberg Per, Stark Tomas, Hollenberg Jacob, Mobile phone technology identifies and recruits trained
                   citizens to perform CPR on out-of-hospital cardiac arrest victims prior to ambulance arrival




•   Multi-channel location-based notification through smartphones, public
    displays, ...
•   Database of CPR volunteers containing both professionals & layman
•   Joint development & implementation of all stakeholders in 3 countries
    (112, emergency services, schools, ...)
SMARTPHONE SCENARIO

•   How many volunteers to contact?

•   Can volunteers decide NOT to accept call-for-help

•   Can volunteers decide to shut-the-app down at night?

•   In a radius of 300m? 500m? 1000m? ...

•   Contact dispatcher service first or peer-to-peer?
      e.g http://help-app.nl
3 COUNTRIES ARE DIFFERENT
• Dispatching   systems

• Laws   & privacy

• Resuscitation   guidelines, http://www.cprguidelines.eu/

• Landscape    and population density

• Mobile    providers

• Various lessons learned from previous systems such as SMS
 Retter, AED Alert, ...
PUBLIC DISPLAY SCENARIO
  Cardiac arrest happening in
        railway station


Patients’ clothes, monitoring his vital
     signs, sends out automatic
   notification to 112 & all public
 infoscreens in the neighbourhood

 Message is displayed on infoscreen: “CPR needed on track 6”
RAISE AWARENESS & KNOWLEDGE OF LAYMEN
   “Increase confidence and motivation to lower threshold for performing CPR”
                  “Recruit people for becoming a volunteer ”
Layman?


                                                  Not only
                                                      You...




“Even a professional in health care who does not apply CPR
              on a daily base is a layman...”
                                   (Dr. Sven Van Poucke, ZOL Genk)
HOW TO INCREASE KNOWLEDGE?




 http://www.youtube.com/watch?v=ILxjxfB4zNk
HOW TO INCREASE KNOWLEDGE


• Educational  innovations for
 first aid training
 (mobile & game based
 learning)                                  CPR &




• Setup
      of a EMR school
 network for training




                                 http://itunes.apple.com/us/app/cpr-choking   http://itunes.apple.com/us/app/hands-only-cpr/
Increasing awareness through activity streams

Volunteers

Subscribe / finish tutorial / applied CPR or saved life / Suggested friend to: become
volunteer, follow tutorial / ...

Notifications

CPR needed / CPR started / CPR ended


Events

Courses / Workshops /

Campaigns / ...
“DRAMATIC” VIDEOS


  http://firedepartment.mobi/
EMR BECOMING A
„SURVIVAL REGION“
PARTNER OVERVIEW
      Open Universiteit Nederland, Heerlen, Centre for Learning Sciences
                       and Technologies, Dr. Marco Kalz

         Universitätsklinikum Aachen, Klinik für Anästhesiologie (Prof. R.
                            Rossaint), Dr. Max Skorning

      RWTH Aachen, Lehrstuhl Informationsmanagement im Maschinenbau
                (Prof S. Jeschke), Dipl.-Ing. Matthias Müller

      Ziekenhuis Oost-Limburg, Genk, Afdeling Kritieke Dienste (Dr. René
                       Heylen), Dr. Johan Van Canneyt


              Katholieke Universiteit Leuven, HCI, Prof. Erik Duval

                       CHR Citadelle, Liege, Notarztdienst,
                             Dr. Michel Verignon

                            CECOTEPE, Liege, EPAMU
                                Tony Hosmans
THANK YOU FOR YOUR
    ATTENTION!




  joris.klerkx@cs.kuleuven.be
          @jkofmsk
      http://emurgency.eu/

EMuRgency project - LICT Industrial affiliation day

  • 1.
    http://emurgency.eu/ The EMuRgency project New approaches for resuscitation support and training Joris Klerkx, Human-Computer Interaction Lab(HCI) @jkofmsk - joris.klerkx@cs.kuleuven.be LICT Industrial Affiliation Day - 10.02.2012
  • 2.
    HUMAN COMPUTER INTERACTIONLAB Technology Enhanced Learning Awareness & Sense-making prof. Erik Duval e-health Music Computer Graphics prof. Phil Dutré Language Intelligence & Information Retrieval Research 2.0 prof. Sien Moens “Flexible Interaction between people and information”
  • 3.
    FACT If you get a cardiac arrest outside the hospital... You have a survival chance of 5 à 10%
  • 4.
    FACTS Chances for survival… … increases through immediate CPR to 50 à 70% ... decreases every minute without CPR with +/- 10% ... is almost zero after 10 minutes without CPR http://hartveilig.rodekruis.be/
  • 5.
    The EMuRgency Rationale A 36M socio-technological innovation project in e-health • +/- 50 reanimations per week by emergency services • Only 8-10 people survive • 15-20 could potentially survive if • Immediate help by layman • Earlier professional help http://emurgency.eu/
  • 6.
    DECREASE TIME BETWEENCARDIAC ARREST & START OF RESUSCITATION “Provide faster help” time
  • 7.
    BEST SCENARIO Imagine you are walking on the street, and suddenly you hear ambulance sirens. The sound keeps getting closer, and to your surprise, the ambulance stops next to you. A paramedic gets out and says: “Quick, get inside, you're about to have a heart attack!" By: Luís Paulo Salvado, Novabase CEO http://www.novabase.pt/en/Connect/OpinionArticles/Pages/Theinternetofthings.aspx
  • 8.
    DETECTING CARDIAC ARREST Pacemakers, heart-rate watches, smart clothing, .... But also: witnesses of accident calling 112 http://quantifiedself.com/2011/02/hit-%E2%80%93-health-internet-of-things/
  • 9.
    NOTIFICATION SYSTEM Ringh Mattias, Fredman David, Nordberg Per, Stark Tomas, Hollenberg Jacob, Mobile phone technology identifies and recruits trained citizens to perform CPR on out-of-hospital cardiac arrest victims prior to ambulance arrival • Multi-channel location-based notification through smartphones, public displays, ... • Database of CPR volunteers containing both professionals & layman • Joint development & implementation of all stakeholders in 3 countries (112, emergency services, schools, ...)
  • 10.
    SMARTPHONE SCENARIO • How many volunteers to contact? • Can volunteers decide NOT to accept call-for-help • Can volunteers decide to shut-the-app down at night? • In a radius of 300m? 500m? 1000m? ... • Contact dispatcher service first or peer-to-peer? e.g http://help-app.nl
  • 11.
    3 COUNTRIES AREDIFFERENT • Dispatching systems • Laws & privacy • Resuscitation guidelines, http://www.cprguidelines.eu/ • Landscape and population density • Mobile providers • Various lessons learned from previous systems such as SMS Retter, AED Alert, ...
  • 12.
    PUBLIC DISPLAY SCENARIO Cardiac arrest happening in railway station Patients’ clothes, monitoring his vital signs, sends out automatic notification to 112 & all public infoscreens in the neighbourhood Message is displayed on infoscreen: “CPR needed on track 6”
  • 13.
    RAISE AWARENESS &KNOWLEDGE OF LAYMEN “Increase confidence and motivation to lower threshold for performing CPR” “Recruit people for becoming a volunteer ”
  • 14.
    Layman? Not only You... “Even a professional in health care who does not apply CPR on a daily base is a layman...” (Dr. Sven Van Poucke, ZOL Genk)
  • 15.
    HOW TO INCREASEKNOWLEDGE? http://www.youtube.com/watch?v=ILxjxfB4zNk
  • 16.
    HOW TO INCREASEKNOWLEDGE • Educational innovations for first aid training (mobile & game based learning) CPR & • Setup of a EMR school network for training http://itunes.apple.com/us/app/cpr-choking http://itunes.apple.com/us/app/hands-only-cpr/
  • 17.
    Increasing awareness throughactivity streams Volunteers Subscribe / finish tutorial / applied CPR or saved life / Suggested friend to: become volunteer, follow tutorial / ... Notifications CPR needed / CPR started / CPR ended Events Courses / Workshops / Campaigns / ...
  • 18.
    “DRAMATIC” VIDEOS http://firedepartment.mobi/
  • 19.
  • 20.
    PARTNER OVERVIEW Open Universiteit Nederland, Heerlen, Centre for Learning Sciences and Technologies, Dr. Marco Kalz Universitätsklinikum Aachen, Klinik für Anästhesiologie (Prof. R. Rossaint), Dr. Max Skorning RWTH Aachen, Lehrstuhl Informationsmanagement im Maschinenbau (Prof S. Jeschke), Dipl.-Ing. Matthias Müller Ziekenhuis Oost-Limburg, Genk, Afdeling Kritieke Dienste (Dr. René Heylen), Dr. Johan Van Canneyt Katholieke Universiteit Leuven, HCI, Prof. Erik Duval CHR Citadelle, Liege, Notarztdienst, Dr. Michel Verignon CECOTEPE, Liege, EPAMU Tony Hosmans
  • 21.
    THANK YOU FORYOUR ATTENTION! joris.klerkx@cs.kuleuven.be @jkofmsk http://emurgency.eu/