Approximately ten percent of newborns require some help with their breathing at birth. About one percent require extensive assistance at birth which needs to be administered by trained personnel. Neonatal resuscitation is taught through a simulation based training program in North America. Such a training methodology is cost and resource intensive which reduces its availability thereby adversely impacting skill acquisition and retention. We implement and present RETAIN (REsuscitation TrAIning for Neonatal residents) -- a video game to complement the existing neonatal training. Being a video game, RETAIN runs on ubiquitous off-the-shelf hardware and can be easily accessed by trainees almost anywhere at their convenience. Thus we expect RETAIN to help trainees retain and retrain their resuscitation skills. We also report on how RETAIN was developed by an interdisciplinary team of six undergraduate students as a three-month term project for a second year university course.
Triage Trainer @cite_27 is a serious game designed to teach major incident triage to clinical professionals. Developed to be played on a desktop or a laptop computer, the game allows its players to practice triage (prioritizing which patients to treat when) in a realistic immersive 3D environment. Players navigate and interact with casualties using the mouse and keyboard. Assessment is done by clicking on a series of icons representing various examinations (e.g., breathing check, pulse rate check) and manipulations (e.g., open airway, tag a casualty with triage rating). The focus of the game is on rapid execution of process-based knowledge. The authors found that participants who played the game had significantly greater accuracy on a triage task than did participants who took part in the control activity (card sort). Although it addresses clinical decision-making under pressure, Triage Trainer deals with the domain of mass casualty triage, not neonatal resuscitation.
@cite_27
2130159928 2023126559 2785342388 2031561585
Abstract Objective By exploiting video games technology, serious games strive to deliver affordable, accessible and usable interactive virtual worlds, supporting applications in training, education, marketing and design. The aim of the present study was to evaluate the effectiveness of such a serious game in the teaching of major incident triage by comparing it with traditional training methods. Design Pragmatic controlled trial. Method During Major Incident Medical Management and Support Courses, 91 learners were randomly distributed into one of two training groups: 44 participants practiced triage sieve protocol using a card-sort exercise, whilst the remaining 47 participants used a serious game. Following the training sessions, each participant undertook an evaluation exercise, whereby they were required to triage eight casualties in a simulated live exercise. Performance was assessed in terms of tagging accuracy (assigning the correct triage tag to the casualty), step accuracy (following correct procedure) and time taken to triage all casualties. Additionally, the usability of both the card-sort exercise and video game were measured using a questionnaire. Results Tagging accuracy by participants who underwent the serious game training was significantly higher than those who undertook the card-sort exercise [Chi2=13.126, p =0.02]. Step accuracy was also higher in the serious game group but only for the numbers of participants that followed correct procedure when triaging all eight casualties [Chi2=5.45, p =0.0196]. There was no significant difference in time to triage all casualties (card-sort=435±74s vs video game=456±62s, p =0.155). Conclusion Serious game technologies offer the potential to enhance learning and improve subsequent performance when compared to traditional educational methods. Background: The application of digital games for training medical professionals is on the rise. So-called ‘serious’ games form training tools that provide a challenging simulated environment, ideal for future surgical training. Ultimately, serious games are directed at reducing medical error and subsequent healthcare costs. The aim was to review current serious games for training medical professionals and to evaluate the validity testing of such games. Methods: PubMed, Embase, the Cochrane Database of Systematic Reviews, PsychInfo and CINAHL were searched using predefined inclusion criteria for available studies up to April 2012. The primary endpoint was validation according to current criteria. Results: A total of 25 articles were identified, describing a total of 30 serious games. The games were divided into two categories: those developed for specific educational purposes (17) and commercial games also useful for developing skills relevant to medical personnel (13). Pooling of data was not performed owing to the heterogeneity of study designs and serious games. Six serious games were identified that had a process of validation. Of these six, three games were developed for team training in critical care and triage, and three were commercially available games applied to train laparoscopic psychomotor skills. None of the serious games had completed a full validation process for the purpose of use. Conclusion: Blended and interactive learning by means of serious games may be applied to train both technical and non-technical skills relevant to the surgical field. Games developed or used for this purpose need validation before integration into surgical teaching curricula. Abstract This paper proposes the use of a non-immersive virtual reality rehabilitation system "ReHabgame" developed using Microsoft Kinect™ and the Thalmic™ Labs Myo gesture control armband. The ReHabgame was developed based on two third-person video games that provide a feasible possibility of assessing postural control and functional reach tests. It accurately quantifies specific postural control mechanisms including timed standing balance, functional reach tests using real-time anatomical landmark orientation, joint velocity, and acceleration while end trajectories were calculated using an inverse kinematics algorithm. The game was designed to help patients with neurological impairment to be subjected to physiotherapy activity and practice postures of daily activities. The subjective experience of the ReHabgame was studied through the development of an Engagement Questionnaire (EQ) for qualitative, quantitative and Rasch model. The Monte-Carlo Tree Search (MCTS) and Random object (ROG) generator algorithms were used to adapt the physical and gameplay intensity in the ReHabgame based on the Motor Assessment Scale (MAS) and Hierarchical Scoring System (HSS). Rasch analysis was conducted to assess the psychometric characteristics of the ReHabgame and to identify if these are any misfitting items in the game. Rasch rating scale model (RSM) was used to assess the engagement of players in the ReHabgame and evaluate the effectiveness and attractiveness of the game. The results showed that the scales assessing the rehabilitation process met Rasch expectations of reliability, and unidimensionality. Infit and outfit mean squares values are in the range of (0.68–1.52) for all considered 16 items. The Root Mean Square Residual (RMSR) and the person separation reliability were acceptable. The item person map showed that the persons and items were clustered symmetrically. Cardiopulmonary resuscitation (CPR) plays a primary role in first-aid treatment. Instead of the traditional instructor-led training course, we propose a virtual reality system which provides an immersive 3D environment for CPR training with visual and haptic feedback. To simulate a real world CPR experience, our immersive trainer system enables a trainee to perform CPR compressions to a virtual human, inside the virtual world. During the training procedure, the trainee can not only watch his her 3D image performing CPR, but also feel the force feedback from the chest compressions in real-time. To further enhance the visual fidelity, a haptic-enabled deformable model is applied to show the visual change of chest during compression.