1) The document discusses Relive, a serious game created by Federico Semeraro and the Italian Resuscitation Council to teach cardiopulmonary resuscitation (CPR) skills. 2) It describes how the game was tested on school children who showed improvements in CPR knowledge and skills after playing Relive for a few months. 3) It also discusses the potential for virtual reality technologies like Relive to play a greater role in CPR training by making it more engaging and effective at reaching different target groups.

2. Federico Semeraro, FERC
Italian Resuscitation Council, Bologna
Relive: A serious game to learn how to save lives

3. Disclosure
Past President Italian Resuscitation Council
Scientific and Educational Committee BLS chair ERC
FERC European Resuscitation Council (ERC)
EuReCa National Coordinator
A breathtaking picnic and Relive Project Coordinator
Star Wars & Star Trek addicted

4. Dedicated to the Next Generation
Andrea was born 20th November 2010
2nd December 2010 First Skype Call Bologna to ERC Porto
23th November 2010 Andrea slept with music from iPod
20th November 2010 6.35 his first photo with iPhone

5. Captain’s Log
Cardiac arrest
Kids save lives
New tech for CPR training
Relive: a serious game for CPR training
Virtual Reality & CPR
Future plans

7. 2 full jumbo jets crashing with
no survivors each and every day.
1,000 deaths per day every day of the year across Europe.
Cardiac Arrest

8. Cardiac Arrest

9. Time is brain
Eisenberg et al. NEJM 2001

10. Time window for lay-resuscitation (7 min)
Collapse Professional resuscitation by
emergency medical services
(EMS)
Breckwoldt J et al. Resuscitation 80-2009
Toleranceofoxygendeprivation
Begin of irreversible brain damage
Time is brain

11. Chain of Survival
Nolan J et al. The chain of survival. Resuscitation 2006

13. Kids save lives statement
“…We recommend educating school children in resuscitation from the age of 12 years
or earlier for 2 h per year. If school children receive such training, they are also likely to
teach this to their family at home – and they themselves will never forget. We will see
not only an increase in the number of cardiac arrest survivors worldwide, but also the
social benefits of enthusiastic and positive young people. They learn to help others.
School children and teachers are important “multipliers” in both private and public
settings and thus, in the longer term, the proportion of trained individuals in society will
markedly increase, leading to an increase in the overall rate of lay resuscitation….”
Böttiger BW et al. Resuscitation 2015

14. Kids Save Lives – ERC position statement on school children education in CPR. August 2016 Volume 105, Pages A1–A3
Kids Save Lives – ERC position statement
on school children education in CPR

15. #KidsSaveLives

16. European Restart Heart Day

17. Viva! 2013-2015

18. 22nd October 2016, Milan
Mass Tranining «Kids Save Lives»

19. 21nd October 2017, Milan
Mass Tranining «Society Saving Lives»

20. #LLAP #ERHD
16th October 2017
www.irconcil.it/LLAP

22. Apps, Virtual Reality & Serious Games

23. Virtual Reality
Enhanced Mannequin (VREM)
Semeraro et al. Resuscitation 80 (2009) 489–492

24. Virtual Reality
Enhanced Mannequin (VREM)

25. Semeraro et al. Resuscitation 82 (2011) 436–441
iCPR: a new and friendly application for
cardiopulmonary resuscitation training

26. iCPR: a new and friendly application for
cardiopulmonary resuscitation training
Semeraro et al. Resuscitation 82 (2011) 436–441

27. A breathtaking picnic
Free App for iOS and Android.
Topic: Cardiac Arrest adult & Infant/Child Choking
Language: Italian, English, French, Deutsch, Nederlands
App / Digital tale (6-10 years old)

29. relivegame.org
Relive is a free sci-fi adventure game about CPR. Its main purpose is to increase the awareness about
this topic and encourage people to take a CPR class and be prepared to intervene in case of need.
Discover the story and challenge your friends in tournament mode!
Language: Italian, English, Dutch

30. relivegame.org
TRAINING & TOURNAMENT MODE
to increase CPR
skill and knowledge
STORY MODE
to increase cardiac
arrest awareness

31. Relive Tournament

32. Relive VR

33. Ten male participants were recruited from students and researchers (non-
CPR experts) at the PERCRO Laboratory.
For each participant, the experiment consisted of a group of three trials of
CC each lasting 30 s and characterized by a different depth CC (4–6 cm).
Each group of trials was repeated for each of the two RGB-D sensors, 60
trials in total. For each of the 60 trials, the data were simultaneously
acquired with RELIVE Tracking and with a traditional training mannequin.
Relive tracking

34. The best RELIVE Tracking
performance was obtained with
RELIVE Tracking using Microsoft
Kinect® v1, with an average
square quadratic error equal to
4.3 ± 0.3 mm, whereas the worst
was with the Creative Senz3d®
with a mean square quadratic
error equal to 6.5 ± 0.3 mm.
Relive tracking

35. Kids (learn how to) save lives in the
school with the serious game Relive
Semeraro et el. Resuscitation 116 (2017) 27–32
Month 1-2
Month 3-4 Competition
Month 8 Retention
65 students
65 students
50 students
15 students
dropped out

36. Semeraro et el. Resuscitation 116 (2017) 27–32
Baseline Participants
Sixty-five students were enrolled in the study: 75% male and 25% female.
The median age was 16 ± 1 years old; BMI was 21 ± 3.
Endpoints
The primary endpoint was the overall improvement in schoolchildren CPR awareness in terms of knowledge (MCQ
results) and skills (CC rate and depth).
The secondary endpoints included the usability test of Relive as a tool to learn CPR and the differences in
performance according to sex and BMI class.
Kids (learn how to) save lives in the
school with the serious game Relive

37. Semeraro et el. Resuscitation 116 (2017) 27–32
Kids (learn how to) save lives in the
school with the serious game Relive

38. Semeraro et el. Resuscitation 116 (2017) 27–32
Kids (learn how to) save lives in the
school with the serious game Relive

39. Semeraro et el. Resuscitation 116 (2017) 27–32
Kids (learn how to) save lives in the
school with the serious game Relive

41. 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

44. Do you believe virtual reality could play a role in the future of training?

45. Do you believe virtual reality could works better with some target groups?

46. Virtual Reality CPR AED
Italian Resuscitation Council
The aim of VR CPR AED project would be to develop a
self-directed learning station BLS and AED.
VR CPR AED 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.

47. A WINNING SOLUTION BOTH
FOR GENERAL POPULATION/KIDS
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

48. Italian Resuscitation Council
Scientific Supervision
Giuseppe (Frodo) Ristagno, Andrea (Aragorn) Scapigliati & Federico (Legolas) Semeraro
The Lord of the Rings: The Fellowship of the ERC

49. Out Of Hospital Adult
Cardiac Arrest Scenario
Chest compression only
and defibrillation scenario
Location: Santo Stefano Square
Virtual Reality CPR AED
Italian Resuscitation Council

50. In Hospital Adult
Cardiac Arrest Scenario
Adult Basic Life Support
Defibrillation Scenario
Virtual Reality CPR AED
Italian Resuscitation Council

51. Out Of Hospital Pediatric
Cardiac Arrest Scenario
Pediatric Basic Life Support
Defibrillation Scenario
Virtual Reality CPR AED
Italian Resuscitation Council

52. Virtual Reality CPR AED
Italian Resuscitation Council

54. #LLAP
www.ircouncil.it/LLAP

55. Teach & Learn CPR
as soon as possible

56. 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!

58. THINK OUTSIDETHE BOX

60. fsemeraro2008@gmail.com