January 19, 2011By Lance Baily

MoulageConcepts.com makes us gag with Emesis (Vomit) Moulage!

Emesis (Vomit)

A common sign of GI disorders, vomiting also occurs with fluid and electrolyte imbalances; infections; and metabolic, endocrine, labyrinthine, central nervous system (CNS), and cardiac disorders.

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Emesis: Basic
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2 tbsp. instant oatmeal

½ cup water

1-3 raisins

2 tsp. plain yogurt

1-3 frozen corn

¼ drop of caramel coloring or dash of cinnamon

2 drop of Kimchee

In a small bowl or emesis basin, combine water, yogurt, kimchee and caramel food coloring.   Add oatmeal and raisins, stirring well to combine.  Add several kernels of corn if desired.

Coffee Ground Emesis

1Tbsp. used coffee grounds

2 Tbsp. water

½ drop caramel coloring

¼ tsp. red Kool-Aid powder; sugar free

Combine used coffee grounds and water in emesis basin.  Stir approximately 1 minute or until water becomes tainted with coffee ground mixture.  Add additional water as necessary to create “slushy” consistency.  Stir in caramel and red Kool-Aid powder.

Smell: Swirl rusty nail through coffee ground mixture to create slight “bloody, metallic” smell.

Environmental Settings:

Using your fingertips or paint brush apply a light coat of vaseline or “soft” barrier around mouth, lips and chin of simulator, creating a moulage surface.  Using Q-tip or small paint brush, gently apply small amounts of emesis granules to outside lips and chin of simulator. (Do not put inside mouth, lips or gums).  Add small amount of emesis to towel/wash cloth and front of patient gown (remove towel/gown from simulator, allow mixture to fully dry before replacing) in addition to emesis basin.

Clean Up:

Using a soft rag or cloth, gently wipe emesis and barrier from lips and chin of simulator.  Treated towel/gown and emesis basin (contents dried at room temperature approximately 48 hours or until all moisture has evaporated) can be stored together in Moulage box or bag for future use.  Mixture can be reused approx. 20 times.

Time Saving Hint:

Mixture can be made ahead, dried and stored, covered, in the emesis basin. To reconstitute: Add 1-2 Tbsp. of tap water to emesis basin.  Carefully swirl water in basin and allow mixture to rest for at least 10 minutes.

Creating your scene: Add a PO medication to emesis basin. Place filled emesis basin on bedside table in front of simulator or have family member at bedside carefully holding emesis basin at mouth of patient.  Set you simulator to retch and ring the nurses call light for assistance. Or using a funnel; drain bloody emesis mixture through suction tubing and into a suction container.  Use in conjunction with abdominal distention.

I hope this helps you with your Healthcare Simulation Moulage!  Please stop by and say hello at www.moulageconcepts.com, where you can learn more about “Bridging the Gap” TM in simulation.

Bobbie Merica,
Moulage Concepts

Author/Business Owner/Simulation Coordinator/Consultant

This article is referenced from Moulage-Bridging the Gap in Simulation TM, book on CD and is, unless otherwise stated, the property of Moulage Concepts.  Copyright and other intellectual property laws protect these materials. Reproduction or retransmission of the materials, in whole or in part, in any manner, without the prior written consent of the copyright holder, is a violation of copyright law.

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