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TRAINING & SIMULATION


                                                    Serious Games – Saving Lives


                           Article by: David Wortley, Director, The Serious Games Institute




      © TruSim, a division of Blitz Games Studios


                                                         Screenshot from Patient Rescue



     Today’s Information Society faces many global health                • Easy access to best practice knowledge.
     challenges which arise directly or indirectly as a result of
     improvements in the communications technologies which               • Use of immersive and collaborative technologies for
     enable us to travel further and more often, physically                leveraging specialist expertise anytime, anywhere.
     meet and interact with more people and be instantly
     informed of events in distant places. Pandemics, an                 I believe that it is a growing and frightening reality that
     ageing population, longer life expectances and lifestyle            our world is likely to have too many people with too many
     related medical conditions all place a growing challenge            treatable conditions at too high a societal cost with too
     to the provision of healthcare in a truly global society.           few human resources equipped with the necessary skills
                                                                         to effectively manage this situation. What can we do
     In this demanding globally networked environment,                   about it ?
     knowledge professionals from all disciplines have to
     face new challenges created every day by almost                     This article considers a few technology innovations that
     ubiquitous instant access to information via the internet.          show potential for addressing these challenges.
     Patients with uncommon medical conditions are now
     able to equip themselves with more knowledge on                     1. Telemedicine
     diagnosis and treatment than their General Practitioner.            The ever-improving bandwidth capacity and ubiquity of
                                                                         wireless and fixed wire networks, coupled with better
     Huge volumes of digital media are published daily. It has           and more realistic video quality, now makes it possible
     been said that students starting a technical 3 year higher          to connect a patient with a rare or critical condition with
     education course will find 50% of what they learn in their          an expert medical practitioner to make the necessary
     first year to be out of date by their third year.                   interventions at key times in key places. Telemedicine
                                                                         extends the power of specialist knowledge to anywhere
     What does all this mean for Global Healthcare ?                     in the world where telecommunications are available.

     • Need for rapid and effective skill development and                Webcams and modern generation mobile phones with
       lifelong learning.                                                video capability enable specialists to save lives almost
68
anywhere in the world on demand. Whilst telemedicine
makes an important contribution to improving the power
and productivity of specialist expertise, there will inevitably
be a finite limit governed by the number of experts
available on-line at any one time.

2. Virtual Hospitals and Remote Sensors
A number of academic and medical institutions are
pioneering the development of virtual hospital simulations
in virtual environments such as Linden Lab’s Second Life.

These virtual environments can be used to train medical           © TruSim, a division of Blitz Games Studios
practitioners and also inform and orientate patients on
hospital layouts and procedures. These applications can             “Virtual Patient Generator Technology” developed by Trusim links
                                                                             medical data to simulate physiological conditions
not only provide basic training and familiarisation without
using expensive and rare physical resources but they
also have the potential to extend specialist care way
beyond the boundaries of traditional healthcare spaces.           The skills and techniques they have developed for the
                                                                  demands of the video game market have been put to
The “Internet of Things” is a phrase used to articulate the       excellent use in recreating highly realistic simulations of
ubiquity and power of remote sensors which, amongst               patient conditions and the effects of medical interventions.
many other uses, can be used to monitor patient conditions        This has important implications and benefits for global
24x7 for all 365 days of the year from anywhere in the            healthcare because they are able to offer medical
world.                                                            practitioners the opportunity to practise critical decision
                                                                  making for medical emergencies with highly realistic
                                                                  virtual patients which respond physically and emotionally
                                                                  as they would in real life.

                                                                  Patient Rescue is designed to improve newly qualified
                                                                  doctors’ recognition and assessment of the signs of
                                                                  deterioration as well as practising effective intervention.
                                                                  Failure to rescue deteriorating patients is recognised as
                                                                  a key contributor to adverse outcomes in UK and US
                                                                  hospitals.

                                                                  Trusim’s work with health professionals and their pion-
                                                                  eering of medical data linked to high-fidelity animations
                                                                  has also been used to train paramedics on how to triage
                                                                  casualties of a high street terrorist explosion. This is the
                                                                  type of event which is very expensive and difficult to
       © TruSim, a division of Blitz Games Studios                simulate in the physical world.
          Imperial College Virtual Hospital in Second Life
                                                                  These technologies and techniques offer great promise
                                                                  in making specialist knowledge more easily accessible
                                                                  and delivering lifelong learning where and when it really
                                                                  matters.

By combining the power of virtual world hospital
simulations with remote patient sensors, it is not difficult
to imagine aggregating similar patients located all over
the world and representing them as virtual patients all
in the same virtual ward and managed by the same
specialist healthcare team. Through the use of real-time
data visualisation and monitoring of patient condition, the
virtual healthcare team could deliver rapid response and                      For further information please contact:
intervention very cost effectively and almost on demand.
                                                                                             David Wortley
3. Serious Games for Healthcare Training                                                       Director
Trusim is the Serious Games Division of Blitz Games                                     Serious Games Institute
                                                                                          Coventry University
in Leamington Spa. One of the largest independent
games companies in the world, Blitz Games develop                                     Tel: +44 (0) 247 6158201
highly successful household entertainment games for                            Email: d.wortley@cad.coventry.ac.uk
consoles such as XBOX 360, PS3 and Wii as well as PC,                         http://www.seriousgamesinstitute.co.uk
smartphone and social networks.
                                                                                                                                       69

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10 11-20 serious games saving lives

  • 1. TRAINING & SIMULATION Serious Games – Saving Lives Article by: David Wortley, Director, The Serious Games Institute © TruSim, a division of Blitz Games Studios Screenshot from Patient Rescue Today’s Information Society faces many global health • Easy access to best practice knowledge. challenges which arise directly or indirectly as a result of improvements in the communications technologies which • Use of immersive and collaborative technologies for enable us to travel further and more often, physically leveraging specialist expertise anytime, anywhere. meet and interact with more people and be instantly informed of events in distant places. Pandemics, an I believe that it is a growing and frightening reality that ageing population, longer life expectances and lifestyle our world is likely to have too many people with too many related medical conditions all place a growing challenge treatable conditions at too high a societal cost with too to the provision of healthcare in a truly global society. few human resources equipped with the necessary skills to effectively manage this situation. What can we do In this demanding globally networked environment, about it ? knowledge professionals from all disciplines have to face new challenges created every day by almost This article considers a few technology innovations that ubiquitous instant access to information via the internet. show potential for addressing these challenges. Patients with uncommon medical conditions are now able to equip themselves with more knowledge on 1. Telemedicine diagnosis and treatment than their General Practitioner. The ever-improving bandwidth capacity and ubiquity of wireless and fixed wire networks, coupled with better Huge volumes of digital media are published daily. It has and more realistic video quality, now makes it possible been said that students starting a technical 3 year higher to connect a patient with a rare or critical condition with education course will find 50% of what they learn in their an expert medical practitioner to make the necessary first year to be out of date by their third year. interventions at key times in key places. Telemedicine extends the power of specialist knowledge to anywhere What does all this mean for Global Healthcare ? in the world where telecommunications are available. • Need for rapid and effective skill development and Webcams and modern generation mobile phones with lifelong learning. video capability enable specialists to save lives almost 68
  • 2. anywhere in the world on demand. Whilst telemedicine makes an important contribution to improving the power and productivity of specialist expertise, there will inevitably be a finite limit governed by the number of experts available on-line at any one time. 2. Virtual Hospitals and Remote Sensors A number of academic and medical institutions are pioneering the development of virtual hospital simulations in virtual environments such as Linden Lab’s Second Life. These virtual environments can be used to train medical © TruSim, a division of Blitz Games Studios practitioners and also inform and orientate patients on hospital layouts and procedures. These applications can “Virtual Patient Generator Technology” developed by Trusim links medical data to simulate physiological conditions not only provide basic training and familiarisation without using expensive and rare physical resources but they also have the potential to extend specialist care way beyond the boundaries of traditional healthcare spaces. The skills and techniques they have developed for the demands of the video game market have been put to The “Internet of Things” is a phrase used to articulate the excellent use in recreating highly realistic simulations of ubiquity and power of remote sensors which, amongst patient conditions and the effects of medical interventions. many other uses, can be used to monitor patient conditions This has important implications and benefits for global 24x7 for all 365 days of the year from anywhere in the healthcare because they are able to offer medical world. practitioners the opportunity to practise critical decision making for medical emergencies with highly realistic virtual patients which respond physically and emotionally as they would in real life. Patient Rescue is designed to improve newly qualified doctors’ recognition and assessment of the signs of deterioration as well as practising effective intervention. Failure to rescue deteriorating patients is recognised as a key contributor to adverse outcomes in UK and US hospitals. Trusim’s work with health professionals and their pion- eering of medical data linked to high-fidelity animations has also been used to train paramedics on how to triage casualties of a high street terrorist explosion. This is the type of event which is very expensive and difficult to © TruSim, a division of Blitz Games Studios simulate in the physical world. Imperial College Virtual Hospital in Second Life These technologies and techniques offer great promise in making specialist knowledge more easily accessible and delivering lifelong learning where and when it really matters. By combining the power of virtual world hospital simulations with remote patient sensors, it is not difficult to imagine aggregating similar patients located all over the world and representing them as virtual patients all in the same virtual ward and managed by the same specialist healthcare team. Through the use of real-time data visualisation and monitoring of patient condition, the virtual healthcare team could deliver rapid response and For further information please contact: intervention very cost effectively and almost on demand. David Wortley 3. Serious Games for Healthcare Training Director Trusim is the Serious Games Division of Blitz Games Serious Games Institute Coventry University in Leamington Spa. One of the largest independent games companies in the world, Blitz Games develop Tel: +44 (0) 247 6158201 highly successful household entertainment games for Email: d.wortley@cad.coventry.ac.uk consoles such as XBOX 360, PS3 and Wii as well as PC, http://www.seriousgamesinstitute.co.uk smartphone and social networks. 69