1. 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

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

3. 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

4. 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!

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

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

7. 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

8. 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

9. 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

10. 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

11. 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

12. 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

13. Burns

14. Trauma – Wounds/Penetrating

15. Trauma - Amputation

16. Trauma - Evisceration

17. Trauma – Facial/Head

18. Illness and Cardiac

19. Demo Time!

20. Questions?

21. Contact Information
Xinying Song Lehman –
UT Southwestern Medical Center
NDLS National Training Center-West
Dallas, Texas, USA
Tom Lehman – –