Speaker at Games for Health Europe Conference 2014

1. Relive: a game
to learn how to save lives
Dr Federico Semeraro
Italian Resuscitation Council, Bologna Italy
Luca Marchetti
CEO Studio Evil, Bologna Italy

2. Dedicated to the Next Generation
Andrea was born 20thNovember 2010
20th November 2010 6.35 his first photo with iPhone
2ndDecember 2010 First Skype Call Bologna-Porto
21stNovember 2010 Andrea’s Secret Facebook Group
23thNovember 2010 Andrea slept with music from iPod

4. 2 full jumbo jets crashing with
no survivors each and every day.
Cardiac Arrest
www.restartaheart.eu
1,000 deaths per day every day of the year across Europe.

5. Bystanders CPR
• Sweden 55% (Norderg et al. 2005)
• Amsterdam 54% (Koster et al. 2001)
• Seattle 52% (EMS Report 2012)
• London 36.7% (London Ambul.Serv. NHS 2011)
• US 32% (AHA 2012)
• Bologna 11% (118 Bologna 2011)
• Milano 11% (Morici et al. 2010)
• Europe 11% (ERC 2013)

6. European Restart a Heart day

8. Mini-VREM project

9. Future of Health Award 2012

10. Future of Health Award 2012

11. Veel Dank

13. Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: a randomised crossover mannequin pilot studyResuscitation 84 (April 2013) 501–507

14. Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: a randomised crossover manikin pilot study
Conclusions
The Mini-VREM system was able to improve significantly the quality of chest compressions,
in terms of compression rate and depth,
performed by healthcare professionals and lay people
in a simulated cardiac arrest scenario.
The system was perceived as easy to use and providing an effective feedback.

15. Mini-VREM project
present

16. Federico Semeraro:
oSpecialty Doctor Anaesthesia and Intensive Care Maggiore Hospital Bologna, Italy.
oItalian Resuscitation Council Executive Committee
oRelive Project coordinator
ErgaCerchiari:
oClinical Director Anaesthesia and Intensive Care Maggiore Hospital Bologna, Italy.
oPast-President Italian Resuscitation Council.
oRelive Scientific Supervision
“The doctors”

17. Antonio Frisoli:
oAssociate Professor, PERCRO Laboratory, ScuolaSuperioreSant'AnnaPisa, Italy. Relive Tracking engine coordinator & scientific supervisor
Claudio Loconsole:
oEng. PhD, PERCRO Laboratory, ScuolaSuperioreSant'AnnaPisa, Italy. Relive Tracking engine developer
“The Engineers”

18. Fabio Stroppa:
oReserchFellow, PERCRO Laboratory, ScuolaSuperioreSant'AnnaPisa, Italy. Relive Tracking engine developer
Nicola Mastronicola:
oResearch Fellow, PERCRO Laboratory, ScuolaSuperioreSant'AnnaPisa, Italy. Relive Tracking engine developer
“The Engineers”

19. Luca Marchetti:
oStudio Evil CEO
oRelive Game Development coordinator
Marco Di Timoteo:
oStudio Evil art director, lead designer
oRelive Game Design
“…and Game Dev”

20. Christian Meneghini:
oStudio Evil CTO
oRelive Game Technical Artist
Luca Salmin:
oStudio Evil Senior Developer
oRelive Game Tools and Game play programmer
“…Game Dev”

21. IRC Executive Committe

22. RELIVE
RELIVE is a game about cardiopulmonary resuscitation.
The main purpose of this game is to increase the awareness about this
topic and push people, especially teenagers and young adults, to take
a CPR class and be prepared to intervene in case of need.
The idea is to create a fun and entertaining game, a SCI-FI opera, to
gather the attention of the audience, and let the CPR concept slip
through the game.

23. During the game the player is forced to learn the basis of CPR to move
forward in the story, in an interesting and non-invasive way.
To keep the CPR skills razor sharp and for a fun and fast CPR
challenge a tournament mode will encourage group play.
Family, schools and groups will challenge themselves to beat the best
score.
RELIVE

24. RELIVE
TOURNAMENT MODE
to increase CPR
skill and knowledge
STORY MODE
to increase cardiac
arrest awareness

25. •Standard setup (PC Keyboard & Mouse)
•Tournamentmode setup
–Full trackingsetup 1 –Microsoft Kinect
–Full trackingsetup 2 –Intel PerceptualCamera (2015)
–OculusRift(2015)
RELIVE

31. Relive Study
•Baseline CPR knowledge and skill of target groups(March 2014)
collecting data from a selected target group as a baseline knowledge (MCQ) and CPR skills (CPR quality data):
–MCQ about cardiac arrest, CPR and algorithm BLS & AED;
–2 minute CPR without any previous training (quality data collected with Relive)
•Game Phase -Target group play with RELIVE game (May 2014)
–Target groups played with RELIVE in the competition modedirectly at school; the mission of the target groups was to participate to a 2-minute CPR competition.
–Only one session of 2-minute CPR competition

32. Relive Study
•Retention collecting data from the same target groups about CPR skills (CPR quality data) and knowledge (MCQ) (Sept 2014):
–MCQ about cardiac arrest, CPR and algorithm BLS & AED
–2 minute CPR (quality data collected with Relive).
Baseline
March
Competition
May
Retention
Sept
B/C
B/R

33. Relive Study B/C
•Baseline (based on 65 students):
–Mean compression rate (cpm): 92±34
–Mean compression depth (mm): 29±12
•Competition (based on 65 students):
–Mean compression rate (cpm): 111±10
–Mean compression depth (mm): 46±8
•ERC GL: rate 100-120 cpm& depth 50-60 mm
•t student baseline vs competition
–Mean compression rate p < 0.0001
–Mean compression depth p < 0.0001

34. Relive Study B/R
•Baseline (based on 52 students):
–Mean compression rate (cpm): 97±35
–Mean compression depth (mm): 30±11
•Retention (based on 52 students)
–Mean compression rate (cpm): 133±39
–Mean compression depth (mm): 47±15
•ERC GL: rate 100-120 cpm& depth 50-60 mm
•t student baseline vs retention
–Mean compression rate p < 0.0001
–Mean compression depth p < 0.0001

35. RELIVE
RELIVE TOURNAMENT MODEEVALUATION

36. Relive Study
Q1 It was difficult to use Relive in the competition mode
1 -Stronglydisagree
2 -Disagree
3 -Somewhatdisagree
4 -Neitheragreeor disagree
5 -Somewhatagree
6-Agree
7 -Stronglyagree
Medianresponse(65): 3 Somewhatdisagree
Q2
The feedback thatyoureceivedfrom Relive game on yourchestcompressionsperformance during2 minutes of CPR wereclear
Medianresponse(65): 6 Agree

37. Relive Study
Q3 Relive helped you to perform a chest compression rate between 100 and 120 compressions per minute as recommended by 2010 guidelines
1 -Stronglydisagree
2 -Disagree
3 -Somewhatdisagree
4 -Neitheragreeor disagree
5 -Somewhatagree
6-Agree
7 -Stronglyagree
Medianresponse(65): 6 Agree
Q4
Relive helped you to perform a chest compression depth between 50 and 60 millimetersas
recommended by 2010 guidelines
Medianresponse(65): 6 Agree

38. Relive Study
Relivegame competitionevaluation(2 ItalianSchools)
65 students
Q1
Q2
Q3
Q4
3
6
6
6

39. Relive Study
Relivegame competitionevaluation(Public PlaceEventBologna)
33 students
Q1
Q2
Q3
Q4
3
6
6
6

40. Relive Study
Relivegame competitionevaluation(IRC CongressNaples)
34 HPs
Q1
Q2
Q3
Q4
3
6
6
6

41. Testing & Outcome
Primary outcome:
•increase awareness about cardiac arrest and CPRin TG
•> 70% in TG
Secondary outcome:
•a significant improvement of CPR knowledge in TG
•> 50% in TG
•a significant improvement of CPR skills in TG
•Improve significantly CPR skill quality data pre-post
-chest compression rate and depth baseline (pre) vspost (feedback)
The game will accomplish the compliance objective if the primary
outcome and at least one of the secondary outcome are reached.
TGTarget Group

42. Relive Study
Secondary outcome:
•a significant improvement of CPR knowledge in TG
> 50% in TG
MCQ (10 questions) –52 students
Baseline 46±13 vs Retention 62±13 p ≤ 0.01
Students 38/52 (improvement in 73%of target group)
•a significant improvement of CPR skills in TG
Improve significantly CPR skill quality data pre-post
-chest compression rate and depth baseline (pre) vs retention (post)

43. Relive Study B/R
•Baseline (based on 52 students):
–Mean compression rate (cpm): 97±35
–Mean compression depth (mm): 30±11
•Retention (based on 52 students)
–Mean compression rate (cpm): 133±39
–Mean compression depth (mm): 47±15
•t student baseline vs retention
–Mean compression rate p < 0.0001
–Mean compression depth p < 0.0001
–Students 38/52 (improvement in 73%of target group)

44. Testing & Outcome
Primary outcome:
•increase awareness about cardiac arrest and CPRin TG
> 70% in TG
CPR Knowledge improvement in 73% of target group
CPR Skill improvement in 73% of target group
The game will accomplish the compliance objective if the primary
outcome and at least one of the secondary outcome are reached.

45. •ReliveInternational launch
•ReliveNetherlands Study
•ERC collaborationin severalcountries
•EuropeanRestartHeartDay2015
The Future

46. relivegame.com