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ARTICLE IN PRESS

RESUS-5949; No. of Pages 2

Resuscitation xxx (2014) xxx.e1–xxx.e2

Contents lists available at ScienceDirect

Resuscitation journal homepage: www.elsevier.com/locate/resuscitation

Letter to the Editor

Relive: A serious game to learn how to save lives Sir, A recent review has provided evidence in support of new and alternative methods for CPR training.1 Among these, are the “serious games”, which are applications developed using computer game technologies more often associated with entertainment, but characterized by a serious purpose. Indeed, during the last decade, many serious games have been developed and used successfully in the field of health, including training of both technical and non-technical skills relevant to the surgical area.2 The Italian Resuscitation Council (IRC) has implemented a serious game for the Viva! Campaign 20133 called Viva! Game (http://www.viva2013.it/viva-game). Viva! Game is a serious game directed to kids and young adults. It served as a tool to create awareness on cardiac arrest and cardiopulmonary resuscitation (CPR) in a soft and enjoyable way. The game has different scenarios, i.e. school, home, stadium, through which the player needs to interact. More specifically, during the development of the story, the player finds himself in the need to perform a high quality chest compression to save another character from cardiac arrest. Viva! CPR (http://www.viva2013.it/vivacpr) is an application for real time feedback on chest compression quality created for smartphones directed to general population to increase awareness and knowledge about chest compression only manoeuvres. The number of downloads of Viva! Game and Viva! CPR during the Viva! Campaign 2013 was around 10,000 (Table 1). For the Viva! Campaign 2014, the Italian Resuscitation Council developed a new and more ambitious project called “Relive” game. Relive is a serious game focusing on CPR with the main purpose of increasing kids and young adults’ awareness on CPR and prompting them to attend CPR classes and be prepared to intervene in case of cardiac arrest. Relive is a first person 3D adventure taking place on planet Mars, in a near future. The game is divided into two different playing modes: a tournament mode and a story mode. The tournament mode is a ready-to-play simulated emergency scene, taken from selected game scenes, where the player faces different rescue situations and can test the quality of his CPR, directly. The player can also challenge his friends directly in a score run, where the

Table 1 Viva! game and Viva! CPR download.

iOS Android Web Overall

Viva! game

Viva! CPR

3297 1123 454 4874

2582 2612 NA 5194

score identifies the CPR manoeuvres accuracy. In the story mode, instead, the player is forced to achieve a high quality standard of CPR manoeuvres in order to move forward in the story. To keep the CPR skills razor sharp and for a fun and fast CPR challenge, a tournament mode will encourage group play. Families, schools and groups will challenge themselves to beat the best score. Based on the motion detection technology, previously published,4 Relive is intended as a tool for a new way to learn CPR. Relive will be part of the 2014 cardiac arrest awareness week in Italy and will be a free downloadable game, available in Italian, English, and Dutch. In conclusion, serious games like Relive are extremely promising for resuscitation trainers and educator communities as a tool for spreading important messages to the lay public. Conflict of interest statement Federico Semeraro, Giuseppe Ristagno, Andrea Scapigliati, Tommaso Pellis, Niccolò Grieco and Erga L. Cerchiari are members of the Viva! and IRC Scientific Committee. Italian Resuscitation Council received a no-profit grant to build a no profit serious games from CZ Health Insurance Netherlands. Mini-VREM team is the winner of the Future of Health Award 2012. The award is a joint initiative of CZ healthcare insurance and Games for Health Europe. References 1. Yeung J, Okamoto D, Soar J, Perkins GD. AED training and its impact on skill acquisition, retention and performance – a systematic review of alternative training methods. Resuscitation 2011;82:657–64 [Epub 31 March 2011]. 2. Graafland M, Schraagen JM, Schijven MP. Systematic review of serious games for medical education and surgical skills training. Br J Surg 2012;99:1322–30. 3. Cerchiari EL, Grieco N, Pellis T, Ristagno G, Scapigliati A, Semeraro F. Social networks as a tool to promote the week of cardiac arrest awareness “Viva!” in Italy. Resuscitation 2013;84:e85–6. 4. Semeraro F, Frisoli A, Loconsole C, et al. Motion detection technology as a tool for cardiopulmonary resuscitation (CPR) quality training: a randomised crossover mannequin pilot study. Resuscitation 2013;84:501–7.

Federico Semeraro ∗ Anaesthesia and Intensive Care, Maggiore Hospital, Bologna, Italy Antonio Frisoli Human–Robot Interaction Area PERCRO Lab, Perceptual Robotics Laboratory TeCIP Institute (Institute of Communication, Information and Perception Technologies), Scuola Superiore Sant’Anna, Pisa, Italy Giuseppe Ristagno Istituto di ricerche farmacologiche “Mario Negri” – IRCCS, Milano, Italy

http://dx.doi.org/10.1016/j.resuscitation.2014.03.306 0300-9572/© 2014 Elsevier Ireland Ltd. All rights reserved.

Please cite this article in press as: Semeraro F, et al. Relive: A serious game to learn how to save lives. Resuscitation (2014), http://dx.doi.org/10.1016/j.resuscitation.2014.03.306

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ARTICLE IN PRESS Letter to the Editor / Resuscitation xxx (2014) xxx.e1–xxx.e2

Claudio Loconsole Human–Robot Interaction Division PERCRO Lab, Perceptual Robotics Laboratory TeCIP Institute (Institute of Communication, Information and Perception Technologies), Scuola Superiore Sant’Anna, Pisa, Italy Luca Marchetti Studio Evil, Bologna, Italy Andrea Scapigliati Institute of Anesthesia and Intensive Care, Department of Cardiovascular Sciences, Catholic University of the Sacred Heart, Rome, Italy

Niccolò Grieco Intensive Cardiac Care Unit and Prehospital Emergency Care, Niguarda Hospital, Milan, Italy Erga L. Cerchiari Anaesthesia and Intensive Care, Maggiore Hospital, Bologna, Italy ∗ Corresponding author. E-mail address: [email protected] (F. Semeraro)

24 March 2014

Tommaso Pellis Intensive Care and Emergency Medical Service, Santa Maria degli Angeli Hospital, Pordenone, Italy

Please cite this article in press as: Semeraro F, et al. Relive: A serious game to learn how to save lives. Resuscitation (2014), http://dx.doi.org/10.1016/j.resuscitation.2014.03.306

Relive: a serious game to learn how to save lives.

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