MoulageConcepts.com makes us gag with Emesis (Vomit) Moulage!
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.
2 tbsp. instant oatmeal
½ cup water
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.
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.
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.
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.
Lance Baily, BA, EMT-B, is the Founder & CEO of HealthySimulation.com, which he started while serving as the Director of the Nevada System of Higher Education’s Clinical Simulation Center of Las Vegas back in 2010. Lance is also the Founder and acting Advisor to the Board of SimGHOSTS.org, the world’s only non-profit organization dedicated to supporting professionals operating healthcare simulation technologies. His co-edited Book: “Comprehensive Healthcare Simulation: Operations, Technology, and Innovative Practice” is cited as a key source for professional certification in the industry. Lance’s background also includes serving as a Simulation Technology Specialist for the LA Community College District, EMS fire fighting, Hollywood movie production, rescue diving, and global travel. He and his wife Abigail Baily, PhD live in Las Vegas, Nevada with their two amazing daughters.