Moulage for Disaster Response Exercises Increased Realism = Better Training Tom Lehman and Xinying Song Lehman University of Texas Southwestern Medical Center NDLS National Training Center - WEST

Moulage (French: casting/moulding) The art of applying mock injuries for the purpose of training Emergency Response Teams and other medical and military personnel.

Why Moulage? Purpose; Better Training = Better Outcomes An increased level of realism provides better training Increase student “Buy-In” and level of participation Give the students the opportunity to deal with “real” injuries determine necessary “life-saving interventions” triage “live victims” in a realistic environment and determine triage categories Manage patient treatment, and manage available resources Better Training = Better Outcomes

Moulage in a Disaster Simulation… Must be; Quick - You will need a large number of victims Realistic – Injuries should favor trauma and must be “realistic” at a glance Effective – Simulated injuries should be real enough to effectively draw the responder into the scenario The “Victims” must “play” the role of their injury Remember - The actual safety of the “Victims” is important!

What do you need to do effective moulage? The Plan Tools Materials and Supplies Moulage Artist(s) The “Victims”

The Plan Exercise Scenario/Plan “Victim” details Purpose and Goal Timeline “Victim” details Injuries Roles Safety Considerations Specific to Exercise

The Tools Sculpting tools Spatulas Latex or Nitrile Gloves Makeup Brushes Foam Makeup Pads Stipple Sponges Hair Dryer Trauma Shears Knife Plastic Drop Cloths Paper Towels Clean Up Supplies

Materials and Supplies Makeup/Grease Paint Blood Red – Red - Black – Brown – Purple – Blue – Flesh – Green – Yellow – Trauma, Burn and Bruise Pallet Wheels Glycerin – Artificial Tears/Sweat Blood Stage Blood – Thick Blood – Fresh Scab Spirit Gum (Glue) Dirt/Charcoal Gel Kit Liquid Latex Nose and Scar Modeling Wax Tissue Petroleum Jelly Cleanup Supplies

Recommended Prosthetics Compound Fractures – Arm and Leg Bullet holes Deep Lacerations Evisceration Eye Globe Finger Amputation – Arm and Leg Facial Trauma Impalement Hand and Foot

The “Victims” The more the merrier! Male and Female, Young and Old Note: Use caution when using children – their safety becomes EVERYONE’S CONCERN! Victims should play a role dependent upon their injuries Use dummies/manikins for the most severely injured or deceased victims

The Artist Must be fast Must understand the scenario and “victim” injuries and roles Must be able to brief the “victims” in their roles and safety Must be as realistic as possible in the application of injuries in the time allotted Must be flexible

As the Artist You Should Learn Specific Injury Simulation Burns Surface/Flash Burns Partial Thickness Full Thickness Blistering Radiation Trauma Lacerations/Scrapes Penetrating Trauma/Impalement Amputation Facial Trauma Compound Fractures Bruising Gashes Illness Cardiac

Burns

Trauma – Wounds/Penetrating

Trauma - Amputation

Trauma - Evisceration

Trauma – Facial/Head

Illness and Cardiac

Demo Time!

Questions?

Contact Information Xinying Song Lehman – Song.Lehman@UTSW.edu UT Southwestern Medical Center NDLS National Training Center-West Dallas, Texas, USA Tom Lehman – Thomas.Lehman@UTSW.edu – Tlehman@NDLSF.org