Moulage Fake Wounds and Injuries for Simulations This

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. troop 91 bsa. org and Allan Schup of Troop 502 www. troop 502. info/moulage_tips. html Copyright 2007 Lorie L. Mc. Graw 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 pyromomma@gmail. com or lorie@pyromomma. com Thank you! Lorie Mc. Graw 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. troop 91 bsa. org click on Photo Gallery

It is a non-uniformed 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 2 nd degree burn

For 3 rd 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! 3 rd 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 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. troop 502. info/moulage_tips. html BSA Troop 91 "Come as Your Own Disaster" Annual Halloween Party www. troop 91 bsa. org/disasterpart 2000/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 • • • • • 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 • • • Athletic tape Castor sealer Condoms – for simulating eviscerations Elmer’s glue (or other nontoxic washable glue) Gauze pads – 2 x 2 and 4 x 4 (use in creation of soft tissue wounds) Liquid 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 • • • • • 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 • • • • 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