European Resuscitation Council 2018 Congress Bologna

1. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Federico Semeraro, MD, FERC
Maggiore Hospital Bologna, Italy
Virtual Reality for CPR training

2. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Conflict of Interest
SEC BLS co-chair & FERC European Resuscitation Council
ILCOR Digital Comunication Working Group
Past-President Italian Resuscitation Council & EuReCa National Coordinator
Star Wars & Star Trek addicted

3. Dedicated to the Next Generation
Viola was born 14th February 2018
18th August 2018 First Augmented Reality
20th April 2018 Viola slept with music from YouTube
14th February 2018 her first photo with iPhone

4. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Captain’s Log
History of Virtual Reality
Taxonomy of Virtual Reality
Virtual vs Augmented Reality
Future of VR/AR
Virtual Reality on Pubmed
VR CPR Italian Resuscitation Council
Future plans

5. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality: definition
“an artificial environment which is experienced through
sensory stimuli (as sights and sounds) provided by a
computer and in which one’s actions partially determine
what happens in the environment.”
www.merriam-webster.com

6. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality: the Father
The term ‘virtual reality’ was coined by Jaron Lanier in 1987
during a period of intense research activity into this form of
technology.
www.jaronlanier.com

7. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality History Timeline

8. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Real-virtual continuum

9. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Augmented Reality
Star Wars, 1977 & Lenovo 2017

10. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality

11. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
VR Headsets Top 4

12. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Healthcare VR

13. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality (VR) on PubMed

14. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality (VR) on PubMed
Virtual Reality: 8591 publications
Virtual Reality and Resuscitation: 15 publications
Virtual Reality and CPR: 8 publications
Virtual Reality and cardiac arrest: 5 publications
Virtual Reality and Rehabilitation: 1638
publications
Virtual Reality and Surgery: 2466 publications
Virtual Reality and Orthopedics: 75 pubblications I have a fracture, I need to fix it

15. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality vs Standard Experience
Roller Coaster Experimental Prospective Study (RCEPS)

16. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
VR & AR CPR experience

17. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Lifesaver VR

18. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
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

19. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Do you believe virtual reality could play a role in the future of training?

20. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Do you believe virtual reality could works better with some target groups?

21. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality
Enhanced Mannequin (VREM)
Semeraro et al. Resuscitation 80 (2009) 489–492

22. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality
Enhanced Mannequin (VREM)

24. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
The aim of VR CPR project would be to use a self-directed learning station BLS
and AED.
VR CPR 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.
Virtual Reality CPR
Italian Resuscitation Council

25. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
A WINNING SOLUTION BOTH
FOR GENERAL POPULAITON 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

26. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Fund raising: End 2016, first quarter 2017
VR project development 2017
Official presentation ERC Congress 2018, Bologna
Final version available in December 2018
Timing VR CPR Project

27. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
IRC Booth

28. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Fund Raising
Gold Sponsor
Silver Sponsor
Bronze Sponsor

29. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Italian Resuscitation Council
Scientific Supervision
Giuseppe (Frodo) Ristagno, Andrea (Aragorn) Scapigliati & Federico (Legolas) Semeraro
The Lord of the Rings: The Fellowship of the ERC

30. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Studio Evil
VR Development

31. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
VR CPR HTC Vive for Training Center

32. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
VR CPR for HTC Vive & Mixed Reality
Home version

33. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
VR CPR Oculus Go
Mobile Version

34. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Out Of Hospital Adult
Cardiac Arrest Scenario
Chest compression only
and defibrillation scenario
Location: Santo Stefano Square
Virtual Reality CPR
Italian Resuscitation Council

35. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
In Hospital
Adult Cardiac Arrest Scenario
Adult
Basic Life Support Defibrillation
Virtual Reality CPR
Italian Resuscitation Council

36. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Out Of Hospital
Pediatric Cardiac Arrest Scenario
Pediatric
Basic Life Support Defibrillation
Virtual Reality CPR
Italian Resuscitation Council

37. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

38. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

39. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

40. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

41. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

42. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

43. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

44. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

45. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Festival Tous Engagés #FTE18
Testing in Real life

46. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality cardiopulmonary resuscitation (CPR) experience: a tool for quality training in resuscitation
Unpublished Data
• The VR CPR was tested in 43 users.
• Medical students at first year of medicine and surgery degree.
• All students were ERC BLS provider from 2018.
• The sample consisted of 25 (58%) male and 18 (42%) women
• Average age of 21±3 years and BMI 22±2.
University of Bologna Medical Students
Testing in Real life

47. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
University of Bologna Medical Students
Testing in Real life
The Bland–Altman plot of chest compression depth and chest compression rate
(Resusci Anne vs. VR CPR) in the 43 students performance of 120 s chest compressions
only-CPR.

48. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Future Plans
• Quality-BLS VR courses: pilot courses from October 2018
• VR CPR for WRAH events in Roma 16th October 2018
• Publication on Steam Store & Oculus Go Store
• Research on virtual reality training vs standard training

49. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Virtual Reality CPR
Italian Resuscitation Council

51. #LLAP
www.ircouncil.it/LLAP

52. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Kids save lives & WRAH

53. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
Teach & Learn CPR
as soon as possible

54. 20 - 22September • Bologna • Italy
New technologies in resuscitation
RESUSCITATION 2018
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!

56. THINK OUTSIDETHE BOX