Transcript The Art and Science of Moulage

Moulage Magic 101
Carol Okupniak RN, MSN
John Cornele RN, BSN, EMT-P
Linda Wilson RN, PhD, CPAN, CAPA, BC, CNE
Fabien Pampaloni RN, BSN
Leland Rockstraw PhD, RN
Moulage
Moulage (French: casting/moulding) is the art of applying
mock injuries for the purpose of training Emergency
Response Teams and other medical and military
personnel. Moulage may be as simple as applying premade rubber or latex "wounds" to a healthy "patient's"
limbs, chest, head, etc....
Background
• Moulage will add to the fidelity or realism of
the scenario
– Overdone moulage can actually detract from the
experience
• Moulage can be used with both Standardized
Patients (people) and Human Patient
Simulators (plastics)
• Moulage does not have to be expensive
– But with some investment you are more likely to
get more consistent results
Background
• Your moulage kit does not have to be
expensive or complicated
– Many things you can find “around the house”
• In most of your scenarios you will need to
make bruising, redness, sweat (diaphoresis)
and vomit
• As you gain experience or acquire new
audiences you will need to add to you skill set
Background
• It is also important to understand the
physiology that is going on
– What is the age of the wound?
– What environment did the wound occur
• In the field or in the OR?
– Do you need to bring in some dirt?
– Is the wound infected?
– Do we need odors?
– Do the bones really bend that way?
Background
• For human victims good quality makeup can
really make a difference
– Blends better (beware the edges) and smoother
– Lasts longer both on the patient and in the box
– Looks better
– Less chance of allergic reactions
Human Techniques
• Generally it is easier to produce more realistic
results on people
– Blending is easier and more consistent
– Appliances usually stick better
– The patient can help take care of the appliance
– The patient can be taught to “refresh” the
moulage
– They can help with cleanup
Human Techniques
• Some drawbacks to people
– They move … sometimes a lot
– They have to go to the restroom …. sometimes a
lot
– They may have allergies
– They are sometimes fussy
– It is sometimes hard to make them lie still for four
hours
Manikin Techniques
• Blending is harder in order to make it realistic
• Some appliances don’t fit well
• Some make up stains easily
– Cream based is generally better that any oil based
• Be sure that you test on a small place first
• They don’t move much
• They don’t go the restroom (unless it is a part
of the scenario)
Getting to Work
• Best to start with a good base color
– Redness for burns as a base
– Some red base for bruises as there will be
inflammation
– Build the other appropriate colors on top
• Don’t put too much base as it will be harder to
“blend” out later.
• You will develop an eye to what looks best
Getting to Work
• Spirit gum
– Needs a clean surface to start
– Needs some drying time
• Morticians wax and temperature
• Working up a good sweat
Some Sources
• Best is trial and error or working with a
experienced buddy
• Some secrets online
– www.cert-la.com/education/moulage-recipes.pdf
– www.whatcomcountyems.com/pdfs/CE%20Instruc
tors/BASIC%20MOULAGE.pdf
• Where to get stuff
– www.moulage.net
– http://www.stagemakeuponline.com/
Some Examples
• Just some examples of what you can do
Questions?