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Education/Training

Moulage of the Month: Industrial Explosion Blast Injury

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Time:

1-2 minutes (does not include dry time)

Skill Level:

Beginner

Supplies:

  • 5 cotton balls, unrolled
  • Moulage gel, blood
  • Slow-flo blood
  • Setting powder, translucent
  • Soot powder, black
  • SIM-Safe color stix, black

Equipment:

  • Paint brush, small
  • Paint brush, large
  • Utensil
  • One cup of hot water

Technique:

Remove the injection pad from thigh of the simulator. Place a small amount of moulage gel into the cavity to act like glue. Quickly press unrolled cotton balls onto the gel, adding gel and cotton balls to fill cavity. See Figure 1.

Apply a thin coat of moulage gel over the surface of cotton balls. Spread the moulage gel over the cotton using a utensil that has been dipped into hot water. See Figure 2.

Add additional moulage gel as needed to fully cover the surface of the cotton adding additional hot water as needed to keep the cotton from sticking to the utensil and causing the cotton to "puff up" and take on a striation resemblance. See Figure 3.

Using a small paint brush dipped into black colorant, create small burn marks along the skin. See Figure 4.

Using a small paint brush dipped into Slo-flow blood, lightly apply red colorant over the small black marks, allowing the black colorant to show through to create wound depth. See Figure 5.

Using a makeup blush brush that has been dipped in soot powder (gently tap edge of brush to container to release the excess powder) brush the perimeter of the skin. See Figure 6.

Quick Fix:

Nasco burn masks may be used to create additional wounds on simulator. 

Dispatch:

Station 512, Rescue 1332 respond Code 3 Route 35, Mason Refinery on Industrial Drive.  Explosion with fire and multiple injuries. Dayton City Fire on scene. 0930 Dispatch clear.

On Scene:

Enter the front of an old industrial building. Using a makeup sponge, apply white makeup to the face of adult simulator patient, blending well along jaw line. Place the victim lying flat on ground on top of multiple pieces of small and large rubber glass. Saturate the clothing near the open wound with blood. Carefully place pieces of twisted metal and broken safety glass around the front entry. Create a multi-casualty rescue scene by placing multiple simulators dressed in burned clothing near the explosion site. Instruct patient to make unsuccessful attempts to move toward the rescuers when they arrive on scene.

Use in Conjunction With:

  • Smoke odor
  • Burnt flesh odor
  • Blood, congealed

Helpful Hint:

Need a simulator-safe option? All SIM-Safe blood, colorants & powders can be used safely on simulators (and standardized victims) without stain risk!

Cleanup and Storage:

Carefully remove gel and cotton from skin of victim; using your fingers to lift the wound out of the cavity. Continue to peel away the wound until all moulage gel and cotton has released from the skin. Using a soft clean cloth or makeup remover towel, remove the makeup and any remaining product residue from the skin.

Bobbie Merica is a medical/trauma moulage expert, author and owner of Moulage Concepts Inc., a nationwide moulage company specializing in training, supplies and certification. Utilizing best practice techniques, Bobbie's teaching methods have simplified the complex, enabling everyone to create Moulage that is quick, cost effective and convincing. Get her free tutorial blog with expert weigh-in at www.moulageconcepts.com/blog and join us in creating moulage that looks, feels, sounds, and even smells like the real thing! 

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