Serious games are video games designed to provide specific expertise, knowledge and skills to the player, going beyond pure entertainment. In this thesis we present a classification of serious games for health and medicine that have been proposed in the last decade. We propose LISSA a serious game designed to teach the cardiopulmonar resuscitation protocol (RCP). In the context of LISSA, we study the visual realism of 3D serious games and their elements, evaluating photorealistic and non-photorealistic effects and camera position in first and third person. In addition, we study the physical realism to improve the interaction between game and player. We propose a new technique based on Kinect able to reproduce the key factors of the CPR protocol. Finally, we evaluate LISSA in a real scenario
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