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Blood and Gore via Moulage

Moulage is one of the tools of the trade.

When you put together a drill or exercise that includes volunteers or professionals responding to an incident site and treating injured people, there is nothing like having simulated patients with simulated injuries. If you don't have the money, tools or training to do the simulation you can go back to the old standby of putting tags on victims describing their condition and if you can communicate with the patient or not.

Over the years, one tool that has come to the fore is moulaging patients with simulated injuries. This can make for a much more realistic exercise and I think the visual element is critically important for volunteers who have perhaps not dealt with significant trauma injuries in the past in real life.

I've seen people with moulage wounds that include bars of metal sticking out of them, etc. When you go beyond the application of latex wounds to using make-up and theater-style artistry, it can look very realistic.

Recently I came across the company Moulage Concepts, which is located in California. You can hire them to do the moulage for an exercise, or they also sell moulage kits, which is something I had not been aware of previously. Doesn't everyone need a simulated "perforated bowel" in their inventory of injuries?

Lastly, they also offer training. You can have the best kit in the world, but if you don't know how to use it properly, what good does it do for you. 

Eric Holdeman is a contributing writer for Emergency Management magazine and is the former director of the King County, Wash., Office of Emergency Management.
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