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Moulage : Fake Wounds for simulations

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Moulage : Fake Wounds for simulations
Moulage (Fake Wounds and
Injuries for Simulations)
This presentation was originally presented to the
Boy Scout Roundtable of Etowah Creek District, Columbia SC
www.etowahcreekbsa.com
Many thanks to Boy Scout Troop 91 www.troop91bsa.org
and Allan Schup of Troop 502 www.troop502.info/moulage_tips.html
Copyright 2007 Lorie L. McGraw www.pyromomma.com All rights are reserved
Please do not duplicate or distribute without permission.
You may not give or distribute this presentation (including images, words, and text) in part
or in whole unless you have gained my permission to do so.
You may not charge anything for it or for related materials that have been created for this
presentation.
For permission or additional information
please contact me at [email protected] or [email protected]
Thank you!
Lorie McGraw
2007-2008 Boy Scout Roundtable Commissioner
Etowah Creek District -- Boy Scouts of America -- Indian Waters Council, Columbia SC
Moulage
Simulations for First Aid
moulage (French for "molding")
Why Moulage?
There are many reasons to
bring some realism into the
teaching of First Aid and
Emergency Rescue
procedures.
•1) Lectures are boring.
•2) It provides a complete picture
of an accident scene.
•3) It improves the Scout's ability
to learn First Aid by increasing
interest and participation.
• 4) Associating the accident to the
situation teaches safety and prevention.
Never play golf in a lightning
storm
• 5) Using realistic First Aid will allow the
Scout to recognize the injuries for
himself.
Other Reasons
•6) Realistic First Aid
helps the youth to
become conditioned
against seeing the pain
and injury in actual
situations.
(Much better than saying,
"Pretend like Jeff has a compound
fracture of the upper arm...")
• 7) By actual
practice, the
application and
long-term
memorization
is vastly
improved.
• 8) It is Fun!
All levels of Scouts, even Cub Scouts, can
easily use the recipes shown at Roundtable.
. Remember that age appropriateness is
important. Cub Scouts do not need to deal
with gashes or large burns.
Refer to the
handbook for
your program
level.
A Nasty S’Mores accident by the campfire –
cotton balls and black marker and tape
“Come as your
Favorite Disaster”
Annual Party
Started in 2000 by Troop 91
Now an annual event
Must have a story and know the
correct First Aid
The Troop tries to assess and
treat (if possible) the injured
victim
www.troop91bsa.org click on Photo Gallery
It is a nonuniformed event
Some simple tricks
Head-wounds –
here the story is
the key to the
wound – you could
have many
scenarios for this
apparent wound
‘Bones’ made from
wooden branch
painted white, stuck
in shoe with ‘blood’soaked cotton
Jeans leg cut from
another pair extended the
‘leg’, making it look like
the foot was removed and
still in the shoe
Ah, the old “Axe-yard Mishap”
‘Axe in the Boot’ trick
Using flour, Vaseline, and cocoa to
make fake skin
Mixing Vaseline and flour.
Cocoa is for color.
Its easier to mix in your hand
although it is messy
SLOWLY add cocoa for color
Using fake skin to make a compound
fracture
(‘bone’ is a chicken bone that has been soaked in bleach)
Add some fake blood for finishing
touch
Everyone has to have a Fishing
Story
Easy Fishhook in the
neck
Put a small, thin layer
of rubber cement down
Glue skin to skin
around the fishhook
Do not pinch
too much skin
around the
fishhook
Close-up of the
fishhook with
glued skin
around it
A little
fake
blood…
Ouch!
Fake Skin from Knox gelatin
Putting down a thick layer of fake
gelatin skin
Add a deep cut or a broken bone,
plus lots of blood
Shocky Burn Victim
Start off with a thin white coat of clown
greasepaint
Mix in red greasepaint, darker
in the middle
Add white grape skins and you
have a 2nd degree burn
For 3rd degree burns you need a
base of red Jello fake flesh
Add fake clear gelatin skin on top of the
lower red fake flesh. Add charcoal or
graphite powder.
Hint: White thread mixed
into paints and strategically
placed can mimic tendons
(not shown).
Voila! 3rd
degree burns.
Add burnt feathers for the smell and
some weepy blood or glycerin if you
want to be very realistic
DEEP CUTS
Create a layer of flesh-colored gelatin
where the fake cut is to be. It is
important to match the color of the skin
as much as possible and make the layer
smooth and tapered on the edges. The
idea is to form some fake skin 1/4 inch
thick that is tapered to the edges so that
it is not noticeable where the fake skin
starts.
Before the gelatin sets, using something
not sharp, create a fake cut or gash into
the gelatin.
Add plenty of fake blood.
Or put tape down,
pin it, add blood!
Dulled knives, broken thin Plexiglas
sheets, sticks,... can be inserted into
the fake cut to add more realism.
How about gushing blood?
It is possible to hide a small clear plastic
tube to squirt the fake blood from the
cut.
The smallest clear tubes like those used
in fish tanks are OK or use the small
oxygen lines used for patients (get them
at drug stores)
The Vaseline/flour putty fake skin can be
used in place of the gelatin fake skin if
squirting blood is not needed.
(the flour putty will not hold the clear
plastic tubes in place)
or cover with tape and ooze out from
beneath it.
FAKE BLOOD
Many recipes
Buy it by the pint at places like Party City $4.99
• Mix water, red food coloring,
cocoa powder, and cornstarch
until the correct color and
thickness is obtained.
• Substitute honey or glycerin
instead of water if you do not
want the fake blood to dry out
as fast.
• If the blood is to look clotted,
adding Knox gelatin will thicken
the fake blood.
Fake Blood
Hint: The problem with
using just red food
coloring and water is
that it is too thin, too
transparent, and stains
skin and clothing.
Adding cocoa powder
will make it thicker and
opaque, and adding
cornstarch should
prevent staining
because the starch is
stained ahead of time.
Pus
• 1 Drop of red food coloring
• 2 teaspoons White liquid
soap or handlotion
Mix white liquid soap and red
food coloring together to
make slurry. Slurry should
appear to be blood tinged.
• Yellow food coloring or
prepared vanilla pudding can
be added for infectious pus
• Pistachio Pudding makes
good green pus
More Bruising and Hematomas
For automobile steering-wheel
bruising, blunt trauma bruising
and hematoma (swelling with
fluid inside), you can use
grease paint in red, blue and
black colorings.
Mix them around the area
leaving some shades unmixed
while others are blended.
Greens and yellow mimic “old”
bruises as in abuse cases.
More Hematomas
Take one intact bubble from a piece
of bubble wrap leaving some edge
to work with.
Do not cut or damage the bubble.
Apply a small piece of molding wax
or fake skin over the bubble and
down edges.
Smooth edges down to blend onto
the simulated skin.
Use the grease paints to color the
hematoma. When you press on the
area it will feel and look like a
hematoma.
Instant Bruise with colored hairspray– not too close…
HEAT STROKE
•
•
•
Sparingly apply a very thin
white grease paint coating to
the face. Do not add so much
that it is very noticeable.
This is needed to help thin
the red grease paint and
make it easier to apply a thin
red coat.
Use red grease paint
sparingly to "flush" the face.
Put just enough on to make
the person look embarrassed,
not the devil.
Use a "fixer" spray or dust
lightly with talcum to keep
the makeup from smearing.
SHOCK / HEAT EXHAUSTION
Hypothermia
•Use white clown grease paint to
whiten the face, arms and hands until
the healthy pink appearance
disappears.
•Stipple on with makeup sponge.
•Do NOT put so much on that the skin
is completely white like that of a clown.
•Add a touch of blue to the lips and
earlobes.
•Use a "fixer" spray or dust lightly with
talcum to keep the makeup from
smearing.
•Spray a very light coating of water on
the face to make it cold and clammy.
Diaphoresis (Sweating)
To create diaphoresis on a patient,
mix liquid glycerin in a spray
bottle filled with water. Spray
desired area with contents.
Another way to mimic diaphoresis is
to spread a thin layer of Vaseline
over the area then spritz with
water from a spray bottle.
Bigger droplets work best.
More burns
Apply liquid latex (not for persons
with latex allergies) to the area
intended for burn. Let dry. Slowly
peel or “tent” latex to mimic
wrinkled skin and blistering. Add
liquid glycerin for oozing and
grease paints for proper coloring.
White thread mixed into paints and
strategically placed can mimic
tendons. Burn edges of clothing
in related area. (Please be fire
conscious).
For more great moulage recipe tips, visit
www.meti.com.
Degloving
• To create a degloving of the hand or foot,
dip the body part in paraffin wax.
• Let dry.
• Slowly peel wax partially away from the
body part. Use grease paints for coloring.
• Add clotted/thick blood and tiny bits of
eraser for fatty tissue. Mix in liquid
glycerine for oozing.
• Or use latex fake glove and peel parts
away
Degloving
or Avulsion (peeling away of flesh
Flap of ‘skin’ cut from leather, taped down,
under sleeve. Lots of blood
“Acting the
Part” of having
sliced his hand
nearly off -
Finishing Touches
• Alka-seltzer tables – to
be used for sucking
chest wounds or
foaming at the mouth
• Assorted sticks for
impalements - nails
Wigs for Scalping
Eyeball Ring plus fake flesh
plus beef jerky, pencil to
impale, and blood – plus a
“Man, was I dumb!” story
Other effects
• Blood Powder
(blood can also be
made - see recipes)
• Chicken bones (that
have been cooked
and soaked in
bleach solution
overnight)
• Cake decorating gel
and edible glitter
(reflects light in
burns and moist
injuries)
• Hair spray – non
aerosol - clear
and black for
charring
• Glycerin simulates
perspiration,
spinal fluid
• New Skin – first
aid supply that
acts like a sealer
Overacting
always helps!
• Plastic knives
and forks
• Plexiglas and
plastic pieces
• Red vinyl from
fabric store to
simulate large
pools of blood
• Cold cream or Vaseline removes the
grease paint makeup. Use either to
wipe off the grease paint before using
soap and water. The gelatin peels off
and the remaining gelatin dissolves in
water fairly easily.
• Vaseline also dissolves dried rubber
cement if given enough time.
• Apply a thin layer of clear latex to
the skin and allow it to dry before
adding the gelatin fake skin. It makes
it easier for the person to remove the
gelatin during cleanup.
• Colored hairspray is removed with
soap and water.
Clean up
Advances/ Special Effects
Supplies:
• These are very nice yet
very expensive and
difficult to retrieve.
• If you use them be sure to
explain at the beginning
that they must be returned
to one of the Moulage
Techs BEFORE
refreshments.
•Bleeding wounds and pumps
•Eye balls made of gelatin or goop
•Full sized manikins with
interchangeable injuries
•Impaled objects that you strap on
•Masks for shock and burns
•Partial amputations
•Pre-made scars and wounds called
“Woochies”
•Pre-made burns with blisters
But it is much more fun to make
your own!
And have the Drama too!
Much of this can be found at the
Troop 502 • http://www.troop502.info/moulage_tips.html
BSA Troop 91 "Come as Your Own Disaster"
Annual Halloween Party
www.troop91bsa.org/disasterpart2000/index.htm
Also, great tips from Bob Amick
www.inquiry.net/outdoor/skills/instruction/simulations.htm
Or do a Google Search for “Moulage Recipes”
Come back to Roundtable and we
will do some more!
And be sure to pick up the
handouts and recipes
Here’s Lookin’ at ya!
Deleted Scenes
• More Info and extra slides (Hey, just like
the DVDs! )
Colors for Makeup
•
•
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•
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•
•
•
•
•
•
•
•
•
•
Blythe Spirit base
Charcoal powder
Clay – modeling or mortician clay: white, brown, flesh
Bruise wheel: brown, burgundy, blue, green
Color wheels: cuts & bruises, burns & blisters, trauma
Beige grease paint
Black grease paint
Blue grease paint
Brown grease paint
Burgundy grease paint
Cyanotic grease paint
Purple grease paint
Red grease paint
White grease paint
Derma wax/ mortician wax
Skin tone grease paint- fair, olive, medium brown, dark brown
Shoe polish – black and brown
Foundations
•
•
•
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Athletic tape
Castor sealer
Condoms – for simulating eviscerations
Elmer’s glue (or other nontoxic washable glue)
Gauze pads – 2x2 and 4x4 (use in creation of soft tissue wounds)
Liquid Latex
Latex Gloves (cut up for moulage)
Nylons/ stockings – to use for those who can not have latex
Petroleum jelly - Vaseline
Saran wrap
Toilet tissue
Tissue paper – colored sheets
FAKE SKIN FROM GELATIN
Another recipe)
• Fill a small clear glass with hot water. Add food
coloring (red with a little green) until the water is
the color of the person's skin. It is OK if the
water is slightly more red than the person's skin
because usually the hurt area is inflamed and
red. Be careful not to add too much coloring to
the water. The water should be only tinted.
• Add the heated colored water slowly to
unflavored Knox gelatin to where the gelatin just
dissolves. The gelatin must be very thick and
fast setting in room temperature.
• Judge the color of the gelatin to the skin color.
Usually one gets the colored water the right
color, but is too dark after adding the gelatin and
thus has to be diluted with hot water. So go light.
• Allow the gelatin to cool to where it can be
placed on the person without scalding the
person. Taper the edges to blend into the skin
when applying.
• NOTE: The gelatin fake skin is only good for an
hour before it dries out too much. If it needs to
last longer, try spraying water on the gelatin
wound every 10 minutes or so to keep it from
drying out.
Tools
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Blow dryers – hair dryers
Extension cords (one per hair dryer)
Brushes – dusting, square edge (small, medium, large)
Brush Cleaner
Cotton balls
Cotton tip applicator with wooden handle
Disposable cups and medicine cups
Palette knife – sculptor’s knife
Palette or Plastic disposable plates for mixing colors
Pocket Comb
Scissors
Sponges – make up wedges and rounds
Squirt bottles
Stipple sponge – black porous sponge
Tongue depressors
Tooth brushes
Tweezers
Other Supplies
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•
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•
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Aprons
Disposable table cloths or old vinyl table cloths
Drop cloths
Garbage bags for clean up or drop cloth
Gloves (latex safe for technicians)
Handiwipes or baby wipes
Paper towels
Plastic bags with seal to store supplies
Rags
Soap and water
Water
Old and/or disposable clothing
Old shoes
Fly UP