How Can Moulage Engage Your Students? · Moulage (French: casting/moulding) • Art of applying...
Transcript of How Can Moulage Engage Your Students? · Moulage (French: casting/moulding) • Art of applying...
Workshop objectives
• To understand how the use of moulage and props add to the realism of simulation
• Participants will be able to identify ways to add realism to their scenarios
Moulage (French: casting/moulding)
• Art of applying mock injuries for the purpose of training
• Moulage may be simple or complex
• Practice dates back to at least the Renaissance, when wax figures were used for this purpose
What is Moulage?
• Crafting an authentic and credible looking victim creates a sense of realism for mass casualty and individual training sessions and evaluations
• Responders don’t have to remember which limb was broken or where there was an injury
Why use moulage?
Moulage and realism in simulation
• Increase realism to human patient simulators
• Simulate injury and disease
• Places the learner in a realistic patient care environment
• Suspension of disbelief
• Card tied to the victim’s ankle or neck identifying wounds or the number assigned to the victim with master sheet given to command post
• Placards beside the victim
• Water mixed with food colouring for blood
• Very often at the scene of the ‘accident’ but no discernable wreckage
• Military began to use simple methods
In the 1970’s - adding:• Clothing to match circumstance
• Manikins were more available for use
• Cuts in clothing with pieces of masking tape to identify wound
Some earlier (1950’s) techniques:
• Felt with taped-on injuries
• Strap on injuries
• Simple makeup – used cosmetic makeup – Ben Nye makeup is the best
• Simulated blood – gel and fluid
• Increased use with live ‘victims’
• Further research done on realistic looking wounds
1980’s and on…
Simulating injuries for the transport of the critically ill patient
Deep bruising
Deep cuts with debris
3rd Degree
Burns
• Halloween blood from dollar store
• Homemade recipes - Google it
• Blood concentrate to be diluted
• Wound blood vs Stage Blood
A little about blood…
• Invite particular actors/models to match scenario
• Suggest models to wear modest underclothing (bathing suits work for female models) and no jewellery
• Coach models to act appropriate to the injuries
The addition of actors/models
• Clothing to match the scenario
• Thrift stores and donated clothing keep cost low
• One use only is ok – tear, cut, soil and burn as necessary
• Burning adds the dimension of scent
Addition of clothing
Questions to ask:
• What is the purpose? Training vs Emergency Planning Practice
• What is the scope? Number of casualties, location and incident
• What is my budget?
• What resources are readily available? Location, kits purchased already, free actors
• How many artists are coming to help?
• How big of an area do you have to set up?
• How much time do you have to set up?
• Do you have lead time to make injuries prior to the exercise?
Getting Started
• Scenario written out with details about each victim
• Allow enough time between injury creation and moulage artists
• Identify clothing for each victim
• Burn clothing (if necessary) ahead of time
MCI - Putting it all together…
• Make cards for each victim
• Use table to guide moulage session on training day for MCIs
…Putting it all together….
• Active bleeds
• Creating vomitus
• Broken teeth
• A&B blood
• Embedded objects
• Oral bleeding
• Coffee ground emesis
• Sucking chest wound
• Subcutaneous Emphysema
• Eviscerated bowel
Some other techniques