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Natural and virtual environments for the training of emergency medicine personnel

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Abstract

EMERGENZA (emergency in Italian) is a ‘serious’ game, developed in the context of the RIMSI project and designed to improve the training of emergency medicine operators. To achieve this goal, it adopts natural interaction paradigms in immersive environments. Virtual reality systems have been used recently in combination with natural interface systems for enhancing patients’ rehabilitation procedures though are proving especially effective in the development of clinical decision support and medical training systems. The use of immersive simulations in medical training is extremely useful to confront emergency operators with scenarios that range from usual (e.g. unconscious person on the ground) to extreme (car accident with several injured people) without exposing the simulation participants in any harm. It is critical to exploit 3D virtual worlds in order to provide as much contextual information as possible to the operators. In fact, each emergency procedure needs to be adapted depending on the environmental threats and the presence of multiple injured people in need of assistance or bystanders. EMERGENZA allows to simulate a first-aid scenario with a configurable virtual environment using interactive 3D graphics. Users can interact through a natural interface for navigation and interaction with the virtual environment. In order to evaluate the prototype, several heuristics have been chosen and tested to measure the overall system usability. Results show that the adoption of natural interaction in immersive virtual environments receives good feedback from users.

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Notes

  1. “Harvey mannequin” was one of the earliest electronic patients, currently sold by Laerdal Corporation.

  2. http://www.micc.unifi.it/vim/datasets/hand-pose/.

References

  1. Harris, S.B.: The society for the recovery of persons apparently dead. Skeptic 1(2), 24–31 (1992)

  2. Cooper, J.B., Taqueti, V.R.: A brief history of the development of mannequin simulators for clinical education and training. Qual. Saf. Health Care 13(Suppl 1), i11–i18 (2004)

  3. Gaba, D.M.: The future vision of simulation in health care. Qual. Saf. Health Care 13(Suppl 1), i2–i10 (2004)

  4. Sales, B.R.A., Machado, L.S., Moraes, R.M.: Interactive Collaboration for Virtual Reality Systems Related to Medical Education and Training. Technology and Medical Sciences. CRC Press, Boca Raton (2011)

  5. Allard, J., Cotin, S., Faure, F., Bensoussan, P.J., Poyer, F., Duriez, C., et al.: SOFA—an open source framework for medical simulation. Med. Meets Virtual Real. 15, 1–6 (2007)

    Google Scholar 

  6. Oliveira, A.C.M.T.G., Botega, L.C., Pavarini, L., Rossatto, D.J., Nunes, F.L.S., Bezerra, A.: Virtual reality framework for medical training: implementation of a deformation class using java. In: Proceedings of the SIGGRAPH International Conference on Virtual-Reality Continuum and its Applications in Industry (SIGGRAPH 2006), pp. 347–351, Hong Kong (2006)

  7. Goktekin, T., Cavusoglu, M.C., Tendick, F., Sastry, S.: GiPSi: an open source open architecture software development framework for surgical simulation. In: Proceedings of the International Symposium on Medical Simulation, Cambridge (2004)

  8. Montgomery, K., Bruyns, C., Brown, J., Sorkin, S., Mazzella, F., Thonier, G., Tellier, A., Lerman, B., Menon, A.: Spring: a general framework for collaborative, real-time surgical simulation. In: Medicine Meets Virtual Reality (MMVR), pp. 23–26 (2002)

  9. Laerdal MicroSim (2012) http://www.laerdal.com/it/docid/5899175/MicroSim

  10. Kononowicz, A.A., et al.: Effects of introducing a voluntary virtual patient module to a basic life support with an automated external defibrillator course: a randomised trial. BMC Med. Educ. 12(1), 41 (2012)

    Article  Google Scholar 

  11. Kelle, S., Klemke, R., Specht, M.: Effects of game design patterns on basic life support training content. In: International Forum of Educational Technology and Society (IFETS) (2013)

  12. Honey, M.L.L., Diener, S., Connor, K., Veltman, M., Bodily, D.: Teaching in virtual space: second life simulation for haemorrhage management. In: Ascilite Conference, Aukland (2009)

  13. Cowan, B., Shelley, M., Sabri, H., Kapralos, B., Hogue, A., Hogan, M., Jenkin, M., Goldsworthy, G., Rose, L., Dubrowski, A.: Interprofessional care simulator for critical care education. In: Proceedings of the 2008 Conference on Future Play: Research, Play, Share (Future Play ’08), ACM, New York, pp. 260–261 (2008)

  14. Buttussi, F., Pellis, T., Cabas Vidani, A., Pausler, D., Carchietti, E., Chittaro, L.: Evaluation of a 3D serious game for advanced life support retraining. Int. J. Med. Inform. 82(9), 798–809 (2013)

  15. Sliney, A., Murphy, D.: Jdoc: a serious game for medical learning. In: Proceedings of the International Conference on Advances in Computer-Human Interaction (2008)

  16. Luo, X., et al.: Integration of augmented reality and assistive devices for post-stroke hand opening rehabilitation. In: Proceedings of IEEE Engineering in Medicine and Biology 27th Annual Conference, pp. 6855–6858 (2005)

  17. Gunn, C., Hutchins, M., Stevenson, D., Adcock, M., Youngblood, P.: Using collaborative haptics in remote surgical training. In: Proceedings of the Eurohaptics Conference and Symposium on Haptic Interfaces for Virtual Environment and Teleoperator Systems (WHC2005), Italy (2005)

  18. Buker, J.W., et al.: Augmented reality games for upper-limb stroke rehabilitation. In: Proceedings of the 2nd International Conference on Games and Virtual Worlds for Serious Applications (2010)

  19. Sparks, D., Chase, D., Coughlin, L.: Wii have a problem: a review of self-reported Wii related injuries. Inform. Prim. Care 17(1), 55–57 (2009)

    Google Scholar 

  20. Lange, B., Koenig, S., McConnell, E., Chang, C., Juang, R., Suma, E., Bolas, M., Rizzo, A.: Interactive game-based rehabilitation using the microsoft kinect. In: Virtual Reality Short Papers and Posters (VRW), IEEE (2012)

  21. Wattanasoontorn, V., Magdics, M., Boada, I., Sbert, M.: A kinect-based system for cardiopulmonary resuscitation simulation: a pilot study. In: Serious Games Development and Applications (pp. 51–63). Springer, Berlin (2013)

  22. McIntosh, C., Macario, A., Flanagan, B., Gaba, D.M.: Simulation: what does it really cost? Simul. Healthc. 1(2), 109 (2006)

  23. Scentsciences Corporation (2012) http://www.scentsciences.com

  24. Lok, B., Ferdig, R.E., Raij, A., Johnsen, K., Dickerson, R., Coutts, J., Stevens, A., Lind, D.S.: Applying virtual reality in medical communication education: current findings and potential teaching and learning benefits of immersive virtual patients. Virtual Real. 10(3):185–195, Springer, London (2006)

  25. Unity 3d game engine (2013) http://www.unity3d.com

  26. Shotton, J., Sharp, T., Kipman, A., Fitzgibbon, A., Finocchio, M., Blake, A., Cook, M., Moore, R.: Real-time human pose recognition in parts from single depth images. Commun. ACM 56(1), 116–124 (2013)

    Article  Google Scholar 

  27. Bagdanov, A.D., Del Bimbo, A., Seidenari, L., Usai, L.: Real-time hand status recognition from rgb-d imagery. In: Proceedings of the International Conference on Pattern Recognition (2012)

  28. Bay, H., Ess, A., Tuytelaars, T., Van Gool, L.: SURF: speeded up robust features. Comput. Vis. Image Underst. 110(3), 346–359 (2008)

    Article  Google Scholar 

  29. Shawe-Taylor, J.: Kernel Methods for Pattern Analysis. Cambridge University Press, Cambridge (2004)

    Book  Google Scholar 

  30. Kalman, R.E.: A new approach to linear filtering and prediction problems. J. Fluids Eng. 82(1), 35–45 (1960)

  31. Villeneuve, M., MacDonald, J.: Toward 2020: visions for nursing. Technical Report, Canadian Nurses Association, Ottawa, Ontario, Canada (2006)

  32. Crookall, D.: Debriefing. Simul. Gaming 23(2), 141–142 (1992)

  33. Nielsen, J., Molich, R.: Heuristic evaluation of user interfaces. In: Proceedings of the SIGCHI Conference on Human Factors in Computing Systems, ACM (1990)

  34. Nielsen, J.: Usability Engineering. Access Online via Elsevier (1993)

  35. Sutcliffe, A., Gault, B.: Heuristic evaluation of virtual reality applications. Interact. Comput. 16(4), 831–849 (2004)

    Article  Google Scholar 

  36. Bradley, P.: The history of simulation in medical education and possible future directions. Med. Educ. 40(3), 254–262 (2006)

  37. WHO: World Health Organization Guidelines for Safe Surgery (2009)

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Acknowledgments

This work was supported in part by the Regione Toscana RIMSI Project (Program POR CREO FESR 2007-2013).

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Correspondence to Andrea Ferracani.

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Integrated Research of Simulation Models for the validation of processes and prototypes in surgical and emergency medicine, funded by Regione Toscana—Italy.

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Ferracani, A., Pezzatini, D., Seidenari, L. et al. Natural and virtual environments for the training of emergency medicine personnel. Univ Access Inf Soc 14, 351–362 (2015). https://doi.org/10.1007/s10209-014-0364-1

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