Clinical Skills Development Service

Tips and tricks: Basic moulage edition

Why is moulage so important to healthcare simulation?

The art of moulage is applying makeup, prosthetics or simulated blood, for example, to create a visual representation of life-like injuries to enhance the realism of clinical simulation training. Moulage can range from very simple to highly complex depending on the simulation requirements. The use of moulage helps immerse learners more fully during healthcare simulations and increases their level of engagement.

Below, we have a series of videos that will teach you some tips and recipes to create basic moulage.

1. Bruises


Step 1: Apply a light coat of beige and purple. Begin with lighter colours first, followed by the darker purples.

Step 2: Use a dabbing motion with a makeup sponge. blend each colour separately, pulling the colour from the middle to the outside.
Use caution with the purples. A little really goes a long way.

2. Grazes


Step 1: Insert the corner of the stipple into  the Fresh Scratch.

Step 2: Drag it across the area where the abrasion is going.

Step 3: Add small amounts of stone or dirt to wet Fresh Scratch, if desired for a gravel rash look. Allow to dry.

Tip: A bruise underneath the abrasion  may assist with realism.

3. Laceration

Step 1: Create a bruise where laceration will be. Using casualty simulation wax,  work it in your hands to soften and  make a snake.

Step 2: Create a ridge and smooth edges so they blend with the skin. Cover the wax with skin-toned makeup/  bruising colour.

Step 3: Using a tongue depressor, blunt needle or ice cream stick, cut a slit into the wax to represent the cut required.

Step 4: Apply Fresh Scratch into laceration  with either a blunt needle or tongue  depressor.

Step 5: Apply more bruise colouring around the wound if required.

Step 6: Complete the effect by applying  blood, allowing some to drip down  the skin.

Tip: Creating a bruise before applying the laceration can help with blending. To make the wound appear deep, apply some black Fresh Scratch into the bottom of the laceration.

4. Burns – First and Second degree

First degree

Step 1: Apply a thin layer of red makeup to  redden the burnt skin area.

Second degree

Step 2: Redden the burnt skin area as above. Make the burn  area larger than the tegaderm.

Step 3: Apply a blob of KY Jelly the size of a  20 cent coin.

Step 4: Affix a tegaderm dressing over the  KY Jelly making sure no air bubbles are under the tegaderm.

Tip: For a fire burn, sprinkle a small amount of charcoal powder around the edges  before applying the tegaderm and KY Jelly.

Create a peeling burn by piercing the tegaderm.

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