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What’s Moulage?

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Moulage is a make-up technique used to create realistic injuries for emergency medical training scenarios. It helps students practice emergency medicine and prepare for real-life situations. Moulage can be applied to actors or mannequins and is widely used by first responder organizations. Companies specialize in moulage, and some schools have their own moulage departments.

Moulage is a special make-up technique used to create simulations of real injuries for practical scenarios used to train first responders. Many moulage technicians use the same techniques used in Hollywood movies, with extra emphasis on realistic wounds to make the practice scenario as immediate as possible. People pretending to be victims in the scenario can be moulage and moulage can also be applied to mannequins.

Practice scenarios are widely considered to be a very important part of emergency medical education. Such scenarios offer students the ability to practice emergency medicine in a non-crisis situation and also expose students to the types of situations and injuries they may encounter on the job. While these scenarios may seem so realistic in the moment that practitioners sometimes forget themselves, there is a vast difference between encountering a brilliantly modeled compound fracture and seeing such a real-life fracture in an emergency situation.

A large number of first responder organizations use moulage in practical situations. Military doctors, servicemen, emergency medical technicians, firefighters, police officers, emergency physicians, and nursing students often experience practice scenarios during their training. It is common for members of a class to go out, with one group being casualties one day and the other group being casualties the next, and actors may even be specially hired to supplement the ranks of the wounded.

Some exams used to test readiness for an emergency medicine job may integrate practice scenarios, along with oral interviews and written exams. From the perspective of people who certify first responders, theoretical knowledge is useless if someone loses their mind in an actual emergency. Moving a class through a traumatic scenario can allow students to demonstrate their skills and learn more about areas where they may need improvement.

Moulage can take the form of simple make-up, but often includes fake latex wounds, complex prosthetics, and well-staged scenes. A good moulage technician can fake a severed limb, cripple a traffic accident victim, or apply more subtle injuries that require careful attention and meticulous patient interviews. In a typical crisis situation, if students don’t respond or miss problems, their patients “die,” which tends to reflect poorly on their abilities.

Several companies specialize in moulage, sometimes working in the film industry alongside work for first responders. Large colleges and schools with a large medical training department may also have a moulage department, ensuring that a constant supply of well-faux wounds is available for classes and practice.

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