1. Reviving Your Drills with Simulated Victims

2. Objectives Learn how to create realistic scenarios for staff training
Learn some basic moulage (injury/illness make up) techniques and how to build your own moulage kit.
Warning: this presentation contains graphic images that may be disturbing. However, none are real injuries.

3. Who should be doing drills & why?
Any CPR/FA trained staff
Lifeguards (in-services & competitions)
Real life and practicing is different
Similar to a scrimmage
Pg 20 on CPR instructors manual
Power point is boring.

4. How drills are done at Tx St
Pick a week and do drills all in one week
Sporadic did not work well
Committee picks dates and times (within week) for each program area
Dates and times ed to our contact who notifies UPD, Fire and EMS
Crucial piece
Week before drills the victims are trained
Evaluators are certified LGIs and/or CPR/FA Instructors
Signs displayed all week at all locations

9. How drills are done at tx st cont’d
Student staff share what occurred/lessons learned at next staff meetings
Summary given at all staff meeting for professional staff as well

10. EXAMPLES OF THINGS LEARNED FROM EMS
Drilling hole into marrow when healing drugs are needed quickly
Painful stimuli for folks passed out
On ice? EMS needs to know that! Special shoes will be needed.
Many times info was not communicated well to them
Let students know what their role will be once EMS arrives
Police always asking for ID

11. What is Moulage?
Application of mock injuries for training purposes.

12. Why Should I Do Moulage?
Emphasizes following OSHA standards for handling bodily fluids
Familiarizes your staff with what equipment you have and where it is in your bag
Creates realism
Practicing first aid skills
Find out if staff can’t handle blood

13. Why do moulage? Safe environment for your staff to practice protocols
Less obvious clues sometimes missed in real life
Example: Hives, white finger beds, medical bracelets

14. Trainer Bags and AEDs Utilize any extra bags or “retired” bags
Create a layout diagram so each bag reflects the other bags.
This helps enforce consistency at each site.
Add links kemp

15. Trainer Bags and AEDs Non-sterile bandages are cheaper for practice.
Bags and backpacks
Non-sterile bandages are cheaper for practice.
Have trainer AEDs
Mark all Training emergency bags and AEDs with neon tape
Know difference between program area bags?

16. Resources for Moulage Recipes
Local Fire Department
Other Universities/Pools
Google/Search Engines
Lifeguards Love YouTube
Wilderness and Remote First Aid instructors manual (pg 206)

17. Laminated Paperwork Laminate for reuse/going green
Can laminate first aid supplies inventory check list (ensures restocking).

18. Role Playing
Having our staff practice being the “injured patron” and the responder allows them to work on how they will conduct themselves and work on empathy professionally.
This allows us to see what we need to work on and help give individualized feedback.

19. Basic Moulage Training Kit for Emergency Reenactment Professionals by Ben Nye
Cream Makeup: master bruise wheel (6 colors), creme F/X burns & blister wheel and cyanotic blue foundation
Simulation bloods: stage blood (2oz), gelatin blood capsules (10 pack) and thick blood
Moulage essentials: Nose Wax - Fair, Simulated Bone Wax, Liquid Latex, Charcoal Character Powder, Plains Dust Powder, Neutral Set Powder and a 2" Laceration Prosthetic
Spirit Gum Adhesive
Spirit Gum Remover
Quick Cleanse Makeup Remover
Professional Tools: Trauma Simulation Guide, No. 5 Flat Brushes, Synthetic Sponge - Single Lot, Nylon Stipple Sponge - Single Lot, Velour Powder Puff - Single Lot, Modeling Tool, Wood, Cotton Swabs Applicator 100/Bag
Moulage Kit Case
Total: $95.00

20. Simulaids Basic Casualty Kit
“Reusable wounds and refillable accessories let you practice bandaging and splinting techniques repeatedly.”
Contents:
1 compound fracture tibia, complete with reservoir and pump assembled
1 bottle coagulant makeup blood
1 pkg. powder to make 1 gal. simulated blood
12 assorted stick-on lacerations and open fracture wounds
1 casualty simulation wax
1 pkg. broken Plexiglas® for simulating glass embedded wound
1 ea. grease paint colors: white, blue, brown and red
1 body adhesive for stick-on wounds
1 atomizer mist sprayer
3 spatulas
3 tongue depressors
1 pkg. of methyl cellulose for blood thickening
Total: $191.90

21. DIY KIT
Blue and red markers or a color wheel for bruising
Simulated blood
Temporary tattoos (like the ones from Wolff F/X)
Thick clear plastic cup (can simulate broken glass)
Knox gelatin (can be used to create burns and act as an adhesive)
Makeup sponges for applying color
Soup (can simulate vomit)
Baby powder for creating “Shock - like” coloring
A spray bottle (add water and a little bit of glycerin for a sweaty effect)
Paint brushes
Tongue depressors
Vaseline
Tooth picks
Q-tips
Paint Pallet
Ivory Soap Bars (you can carve them to look like bones)
A storage container
Fingers and toes
Tip: Check out Halloween stores afterwards for sales for inexpensive wounds and pieces for your kit

22. Wounds Using the Ben Nye skin Using Halloween leftovers
Add pic of Halloween leftover

23. Imbedded objects and dismemberments

24. Fake blood https://www.facebook.com/kens5/videos/10157750643465045/
Packages
Applying the fake blood before and during drills
(LABEL IT WELL)
Red lip gloss for congealed blood

25. Bruises
Use red and blue markers

26. Hives
Can use Bill Nye but not always worth it
Blush

27. Pale/Cold Related Illnesses
Baby powder
Make up that is lighter than skin

28. Sweat
Water plus glycerin in spray bottle
Glycerin in the baby aisle

29. Burned Skin
Petroleum jelly with a little blue and red food coloring and some (minimal) food coloring

30. Vomit Oatmeal Can of soup
The lunch that was left in the fridge for over month (just kidding!)

31. What about the amount of time this takes to set up?
Paying folks by the hour and don’t have it in the budget to have them do this?
Seek volunteers ahead of time. They can come a little early and some might come for free because they are into it.
Use GA/Pro Staff/Interns as victims

32. The Do Nots of Moulage
Do NOT allow “victims” to leave with their injuries.
Should a real accident occur, this could cause serious issues
Do NOT use latex
Sugar ingredients should not be used in outside exercises during warm/hot weather. Could attract bees or other stinging insects
Dish soap or other ingredients could hurt victims eyes; don’t use on “head injuries”
Only use new lipsticks

33. Other tips/Considerations
Get your free practice epi pens
Use trash bags/plastic to protect floors from a mess
Clean all sponges, equipment afterwards
Make sure you do Biohazard Trainig (OSHA Law)
Clothes that victims wear that day should be old
Keep the paperwork from drills
Add link for epi pens

34. Encouraging participants

35. Thank you!
Stephanie Darimont Aquatic Territory Specialist American Red Cross South and Central Texas
Julie Saldiva
Assistant Director of Aquatics & Safety
Texas State University