EMSWorld Interviews Moulage Concepts Founder Bobbie Merica About Simulation Realism Through Makeup

EMSWorld recently interviewed Moulage expert Bobbie Merica of MoulageConcepts.com to learn how moulage makeup can improve the educational outcomes of simulation by increasing the realism for learners. Here are a couple of excerpts from the EMSWorld article entitled The Importance of Accuracy in Moulage Trainingby Valeria Amato:

What advice would you give people who are looking to implement more realistic and effective moulage into training regimens?

It’s like anything else: You need to plan and prepare. When you develop your case scenarios, decide what the takeaway is going to be. Is it triage-specific? If so, then your wounds should accurately represent wounds related to triage. A lot of the time, people will throw in the moulage piece at the end without giving it any thought. They won’t collectively decide what the full-thickness burn is going to look like, what the pediatric patient will look like and how they’re going to present it. Locate an accurate picture on the Internet of an actual case. Practice creating moulage so that everyone in your training knows what these wounds will look like.

Mostly it’s about the planning. You’d never run your training scenarios without a great deal of planning. When you’re building those scenarios, start building in those moulage components. Understand what story you want to tell. Understand what the training outcome is. Is intubation with a full-thickness burn the outcome, or is it identifying the smoke inhalation? If the training outcome is smoke inhalation, then you don’t need a full-thickness burn. It’s not difficult to clarify that a full-thickness burn in the upper airway in the chest and neck has smoke inhalation. If you really want to know if someone has smoke inhalation, bring it back and test it in multiple areas. Create that eye-reddening, some tears coming down, the reddening in the back of the throat. That little bit of hoarseness. Break it out into multiple training avenues, unless intubating the patient with a full-thickness burn is the skill set.


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That makes sense, especially going back to what you said about using moulage in less of a theatrical capacity and for mass-casualty incidents.

If it’s a mass-casualty incident, you’re going to have some people who look like those first-line-of-response people, but often a lot of those people look the same. Certainly you should assess the woman screaming and covered in blood, but you might also want to look at that person quietly dying right next to her. It’s about creating all those aspects and using this as a tool to define where those strengths are and, more important, where those weaknesses are so you know how to align future training dollars.

I think every person, every entity and every training site should have access to this level of training. Moulage doesn’t have to be expensive and time-consuming. You can have amazing moulage that tells the whole story, allowing you to spend the next six weeks accurately training your participants to meet outcomes, that will cost you pennies.

Do you have a copy of Bobbie’s Best Selling Moulage Recipe Book? Check out our review here!


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How to Make Fake Blood

Contrast Creative shares this online video tutorial for how to make simulated blood for your medical simulations.  I don’t recommend using this recipe for filling your manikins as it may clog the system, but this looks like a great receipe for adding some exterior moulage.

Do you have a great video for a moulage recipe to share? Email us or leave a link in the comment section.

Fresh Bruise Moulage Recipe of the Month

Fresh Bruise Moulage (or Contusion moulage):

contusion moulage

Another great recipe from Moulage expert Bobbie Merica, this time hosted on the EMS-World website. The moulage recipe starts like this:

“Technique:

Using red make-up, lightly apply a medium-sized, approximately 2 inch × 2 inch circular pattern to the skin of victim. Gently blot the color with a tissue along the outside perimeter of the bruise layer, variegating the color intensity so that the highest level of color concentration remains in the center and fades out along the edges (see Figure 2).

Using a make-up sponge dipped in blue make-up, lightly apply the second layer of color stretching approximately 1/3 around the perimeter of the skin reddening and extending outward approximately 1/4 to 1/2 inch. (This will be the point of impact; most objects do not hit with full force-evenly.)”

Click the link above to read the entire recipe!


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