Kalz, M. (October 7, 2013). COMAC meeting year 2 EMuRgency project. Presentation provided during the internal advisory board meeting. Heerlen, The Netherlands.

1. COMAC Meeting Year 2
EMuRgency project
Dr. Marco Kalz

3. X

4. Kalz et al., 2013

5. The EMuRgency activities
• WP1: Project coordination
• WP2: Design, development, testing and
implementation of a notification system for first aid
support
• WP3: Educational innovations for resuscitation training
(mobile & game based learning)
• WP4: Setup of a EMR school network for resuscitation
training
• WP5: Setup of a stakeholder network in the EMR
region
• WP6: Development, evaluation and implementation of
interactive displays to increase awareness

6. WP1 Project Coordination
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•
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Reporting
Financial contact & financial reporting
Establishment of a communication infrastructure
Consortium meetings & monthly meetings
Mix of face-to-face & online meetings
External representation of project
Networking with related initiatives
Exploitation & sustainability

7. WP2 Volunteer Notification System
•
•
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•
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Technical development of VNS (server + app)
Piloting & Evaluation
Integration of external components
Interfaces to dispatch centers
Legal reviews

8. Components of the VNS

9. User registration

10. Android app Iogin and activity stream

11. Case initializer

12. Android app locked case and open case with volunteers

13. Evaluation and implementation of the EMuRgency VNS
The Evaluation and implementation of the EMuRgency VNS will be done
with the following three steps:
1.
Evaluation of the VNS by volunteers from the Hartslag voor Limburg network
2.
Field test with volunteers under realistic conditions
3.
Implementation of VNS and simultaneous use of both systems

14. 1. Evaluation of VNS by volunteers
› Requirements analysis with volunteers that have already experienced the Hartslag Nu
system:
» Retrieve information about how a user experiences the notification system under real
conditions
» Gather requirements and suggestions for improving the VNS directly from users who
have a strong idea about how an emergency with a notification system works
» Potentially develop new ideas for features the VNS should have in order to further the
quality of the VNS

15. 2. Field test with volunteers under realistic conditions
› Evaluate the VNS under close-to-real conditions by sending test notifications to actual
volunteers:
» Selected volunteers receive a test notification and simulate the whole procedure
(possibly incl. CPR)
» Data like number of respondents, time to arrival etc. is collected
» Opportunity for joint study and publication

16. 3. Implementation of VNS
› The VNS is implemented into the working system from Hartslag voor Limburg:
» Add the VNS case initializer as an additional recipient for the Hartslag voor Limburg
SMS.
» The VNS server interprets the SMS and converts it into a notification for the
EMuRgency system.
» Both systems can be used simultaneously, whereby the already achieved high quality
of the provided care is not threatened.
» Evaluation of emergencies and possible improvement of the system until a satisfying
status is reached.

17. Legal reviews: Germany
• Germany: VNS as a special case of a FirstResponder-System that needs to be implemented
by the EMS with all duties, advantages &
disadvantages
• Requirements of first responders: 50 training
hours, certification, yearly update, equipment
• Political question -> Recommendation to talk to the
health ministry in NRW

18. Legal reviews: Belgium
• Belgium: Today it is not possible for the uniform
call system for urgent medical care to alert
someone else, such as e.g. a volunteer. BUT:
• The Act of 8 July 1964 leaves an opening to include
the EMuRgency notification system into the
described uniform call system for urgent medical
care.

19. Legal reviews: Belgium
• However, to make the intervention by the EMuRgency notification system
or the EMuRgency volunteer possible, a Royal Decree is necessary.
• After all, during the parliamentary preparation of article 6bis of the Act of
8 July 1964, the petitioners of the bill of law leading to this article, stated
that the other possible interveners to be designated by the King, not
necessarily have to be health practitioners.
• With this in mind, it can be interesting to approach the provincial
Commissions for Urgent Medical Care or the National Council for Urgent
Medical Care . These are authoritative and advisory bodies within the
uniform call system for urgent medical care, which could assist the
EMuRgency consortium with the implementation of its plans.

20. WP3 Educational Innovations
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E-Learning (open content, open access)
Mobile App
Serious Game: HeartRun
AED pointer: Crowdsourcing of AED locations
in the region

21. EMuRgency E-Learning

22. EMuRgency E-Learning

23. EMuRgency E-Learning

24. EMuRgency E-Learning: Next steps
• Finalize translations and adaptations
• Study at CHR Citadelle with focus on
professionals
• Integration of E-Learning into public
EMuRgency website (Mid 2014)
• Publication of content under a
Creativecommons license, allowing others to
adapt it

25. EMuRgency Mobile Learning App
• 1st step: Market study existing apps
• 2nd step: Prototype development EMuRgency
app

26. EMuRgency Mobile Learning App Study

27. EMuRgency Mobile Learning App Study
Kalz et al, submitted

28. EMuRgency Mobile Learning App

29. Next steps
• Finalization and translation
• 2014 study about effects for retention times
• Integration in EMuRgency app?

30. Serious Game: HeartRun

31. Serious Game: HeartRun
• Addition to school training
• Focus on self-efficacy
• Motivational trigger

32. Serious Game: HeartRun
Why mobility?
• Location-based
• Role-based
• Authenticity

33. Serious Game: HeartRun
Simulates a real situation
Requires the recall of BLS
related knowledge immediately and correctly
Integrates tasks and
questions

34. Next steps HeartRun
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•
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Finalization and translation
First formative feedback collected
Design & gameplay improved
Data collection started (ca. 150 data sets
needed)

35. • 3 possible actions
– Recording his own AED
– Signalling an AED not yet recorded
– Signalling an error
(AED not available anymore, false location,…)

36. • At this moment
– 665 recorded AED’s
(B : 637, G : 29, Nl : 0)
– >22.000 visitors

37. Promotional posters
(FR/DE/NL)

38. • Perspectives
– Develop new or better functions :
• changing colour of icons depending on time of availability
• Applications for Smartphone with GPS location
– How to validate its content?
– How to become an official tool for PAD programs?

39. WP4 School training
• Approx. 10 000 school children in secondary
schools trained (+ 3000 during public event)
• Mass training (40 – 80 participants)
• Support by medical students
• 3 different educational designs

40. WP4 School training
• On-site training, computer-supported training,
blended learning
• Question of effectiveness and efficiency

41. WP5 PR & Events
• Focus communicating the goals, results and
products of the project
• 2 Websites in 4 languages
• Facebook & Twitter
• Public events & scientific events
• Flyers, posters etc.
• Project stand

42. WP5 PR & Events

44. PR Activities
• Public training for 3081
people in Aachen
• Cooperation with
companies & organisations
• Feature on WDR, Aachener
Zeitung etc.

45. • 10 hours of
resuscitation activities
• EMuRgency symposium
• EMuRgency booth
• Feature in Limburg 1,
newspapers, social
media

46. •
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Scientific workshop
Focus on exploitation
Similar projects
Very useful feedback
Contact to exploitation
specialist

47. EMuRgency petition

48. Scientific Output
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4 journal papers/conference full papers
10 abstracts and short papers for conferences
4 papers submitted or in preparation
Plus approx. 3 – 5 papers for the final project
year

49. WP6: Ambient & public displays
• Focus on increasing awareness & knowledge of
the general public
• Two application contexts: Semi-public/Public
• Attention-aware displays/MirrorWiz
• Display network

50. WP6: Ambient & public displays
Börner, Kalz, & Specht, submitted
50
50

51. WP6

52. Gonzalo Parra@KU Leuven

53. Gonzalo Parra@KU Leuven

54. Gonzalo Parra@KU Leuven

55. WP6: Ambient & public displays
55
55
Joris Klerkx@KU Leuven

56. WP6: Ambient & public displays
56
56
Joris Klerkx@KU Leuven

57. http://as-emurgency.appspot.com/

58. WP6: Ambient & public displays

61. Success Indicators according to plan

62. Success Indicators according to plan

63. Quality Assurance
26.9.2013: Advisory Board Meeting with two external advisors:
• Prof. Dr. Koen Monsieur (Professor of Emergency Medicine,
Director Guidelines and ILCOR, European Resuscitation
Council (2011-), Honorary Secretary, International Liaison
Committee On Resuscitation (ILCOR) (2011-) )
• Dr. med. Max Skorning (Specialist in Anaesthesiology and
Prehospital Emergency Medicine, Leading consultant in
"patient safety" for MDS (Medical advisory service of social
health insurance, Germany), Member executive committee
of the GRC (German Resuscitation Council))

64. Quality Assurance
• Positive about results
• Will support exploitation phase
• Input for ERC panel & discussion with European
Commission (16 October)

65. Initiatives for final project year
• Finalization of research, development and
implementation activities
• Improvement of PR of the project
• Exploitation of results
• Strategic activities addressing legal barriers

66. Initiatives for final project year
• Increasing contact with critical partners (e.g.
European Resuscitation Council, National
Resuscitation Councils)
• Preparation for follow-up project
• Exploration of new organisation (e.g.
eingetragener Verein) to sustain activities

67. THANK YOU FOR YOUR ATTENTION