October 31, 2014By Lance Baily

Simulation Moulage — Should You Be Using It?

burn moulage

“Train as you Fight.” — United States Army

Today comes an article from Moulage Expert Bobbie Merica on Carolina’s Fire Journal on the introduction and reasons behind utilizing moulage in your medical simulations. You can use such an article to help demonstrate to other clinical educators or administrators why they should invest in your moulage training! Check out the link to Bobbie’s Moulage Recipe book which is a MUST-HAVE for every medical simulation library.

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The addition of Moulage creates realistic field training exercises that mimic responder and victim situational responses that are specialized to training outcomes, including:

  • Pediatric specific field triage
  • Elderly and immune-compromised
  • Pathologic patient conditions
  • Veterinarians
  • Wound identification and closure

Moulage, when integrated into the simulated exercise, creates a powerful training modality that enhances live actor and human patient simulator events. The use of interactive, odorous, three-dimensional wounds such as hemorrhages, wound debridement, suturing capabilities, decontamination and realistic triage heightens the field experience by providing enhanced assessment, injury recognition, supportive decision-making, realism, and retention and stress inoculation.

“Success does not consist in never making mistakes but in never making the same one a second time.”— George Bernard Shaw

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Another reason to add moulage to the training scenario: Current research estimates anywhere from 50 to 90 percent of all communication is non-verbal, thus proper assessment, triage, acuity and training is often dependent on the accurate use of four of the five senses; that which must be seen, felt, heard and even smelled.

The addition of moulage highlights areas for growth by assisting the team in identifying shortfalls in current patient coding, acuity levels and wound staging based on individual and team assessment. Additionally, skilled use of primary and accessory moulage can illuminate areas for risk reduction through quality advancement identifiers such as highlighting strengths and weaknesses involving wound recognition, stabilization, standardization and triage management on both an individual and team building events. The addition of moulage to the training paradigm can provide life-saving exposure of system vulnerabilities creating a segue between multiple responders, systems and triage points.

Read my review of Bobbie’s Medical Moulage Recipe Book and Read the rest of this article on the CarolinaFireJournal.com website!

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