Serious Games Asia is working with the doctors from Singapore General Hospital (SGH) to develop the first computer-simulated game to sharpen skills involved in resuscitating newborn babies.
Neonatal resuscitation providers in Singapore have to undergo retraining every two years. Recognising that knowledge and skills can decline four to six months after training, the game provides learners the flexibility to access the simulation programme at a computer or laptop, without the need for physical manikins or a scheduled class limited to a handful of learners at a time.
“We used the revised Singapore Neonatal Resuscitation Course (SNRC) Guidelines 2016 as the backbone of this web-based simulation game. The aim is to retrain, strengthen and assess competency of doctors, nurses, midwives, respiratory practitioners and paramedics who care for newborn infants,” shared Senior Resident Physician Dr Imelda L. Ereno, of SGH’s Department of Neonatal & Developmental Medicine.
The game is played by a single user taking on the team lead role, with one to three characters assisting the gamer in various realistic clinical scenarios.
“In general, 15 percent of newborn babies require some help to start and sustain breathing. This requires the healthcare team to provide support that ranges from gentle suctioning and stimulation, breathing aid, external heart massage, to the use of medication to support heart beat and blood pressure,” said Adjunct Associate Professor Yeo Cheo Lian, Senior Consultant at SGH’s Department of Neonatal & Developmental Medicine.
At the end of each session, the game displays a score that can be used as an assessment tool. Performance is scored based on the player’s knowledge, technical skills, appropriateness of actions taken and leadership abilities shown while interacting with other characters assisting the gamer.
Dr Yeo and Dr Ereno are Programme Director and instructor of the SNRC, respectively. Now in its pilot stage, SGH and KK Women’s and Children’s Hospital plan to incorporate the game as part of their regular retraining curriculum in 2018. In the long term, the game may also be used to introduce new learners to steps in neonatal resuscitation.
The future plans for the game include introducing multiplayer gameplay, virtual reality to enhance realism, and customised scenarios for specific learning needs, such as intubation for doctors and oro-gastric tube insertion for nurses.
With REHABILITY, patients can carry out their rehabilitation exercises, from either the centre in which they are hospitalized or remotely, autonomously but with constant medical supervision. This version is based on many years scientific research with specific studies in stroke, MS and Parkinson’s disease.
REHABILITY aims to support a patient centric, continuous care environment operating seamlessly between the therapist and the patients.
REHABILITY enables patients to carry out their personalised rehabilitation exercises from the convenience and safety of their home.
- Constant medical supervision is guaranteed thanks to the software that allows personalised parameters to be set and adjusted and the remote collection and analysis of data.
- Benefits: continuity of therapy, personalised service, speed of processing and patient quality of life.
- Works on mobile, tablet and PC.
- With familiar environments to make it interesting and motivating for the patient.
We also have the REHABILITY kids which is the rehabilitation version specifically designed for use in pediatrics. And there is the REHABILITY lite which is the version specifically dedicated to elderly people to help them realise their potential and promote active ageing, combining physical and mental well-being, social participation and independence in a non-clinical context.
ALP Is a platform approach for all immersive technology to work together as a learning management system. A platform is a group of technologies that are used as a base upon which other applications, processes or technologies are developed.
In terms of games-based learning, ALP provides a means to create highly configurable games based on a set of artefacts that can be controlled based on the backend configuration. Developers can concentrate on creating the environment in which technology they prefer (e.g. Unity 3D) and provide content subject-matter-experts with a powerful instrument to personalize or tweak scenarios based on their requirements. This would leave the instructional designers to focus on the outcome they desire leveraging on the content provided. In other words, developers may provide a default configuration of the game that is already playable into the Appforo Learning Platform. This will allow the non-technical content subject-matter-experts and the instructional designers to make changes specifically directed to each category of user based on the user requirements. This means that scaling up more scenarios will be made simpler. The platform backend logic allows developers to write json configuration file, which once uploaded to the platform, will automatically generate a web configuration console for developers to tweak the game mechanics, objectives, levels of difficulty and scope of the game play easily. The toolbox in ALP defines the granularity of actions and parameters that will be available in the Game configuration engine for further tweaking.
ALP allows technology developers, content subject-matter-experts and instructional designers to split their work up, where each role need to access and work on the project at their own time yet still together at the same time.
SDK for unity will connect a game to the backend. Maps the backend configuration file on real UNITY 3D objects. In each game, there will be a toolbox created. The toolbox will serve as the client for a specific game. This is where developers come into play. Creating an environment (e.g. Emergency room), adding ‘artefacts’ that can be used in the backend. The developer could also design mini-games using the toolbox. The game can then be publish both as app or as a web GL browser game on PC/Mac. Other deployment can be produced as long as UNITY 3D editor is used and an internet connection is available.
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