Moulage of the Month: Pediatric Stroke
Moulage of the Month is sponsored by Nasco.
Time: 1-2 minutes
Skill Level: Beginner
Supplies: (Shop www.moulageconcepts.com for all your moulage needs!)
- Bowl
- Water 1 oz. warm
- Moulage Gel, clear 2 oz.
- SIM-Safe Stix, white
- Electric Hot pot or 4 cups of boiling (160 degrees) water in deep bowl
Equipment:
- Bowl, medium
- Utensil
- Paint brush, large
Technique:
To make vomitus: Using a hotpot appliance or hot water method, bring Moulage Gel to 120º to liquefy.
Tint Water: Place 2 oz warm water into a medium size bowl. Using SIM-Safe stix as a utensil, begin stirring water with colorant to tint. See Figure 2.
Quickly add heated moulage gel into tinted water, stirring well to mix. Vomitus mixture will curdle and firm up slightly. See Figure 3.
Apply vomitus: Using a large paint brush, apply vomitus granules to the chin, lower lip and front of shirt. (For external use only.)
Quick Fix:
Use eNasco Pediatric ALS Trainer to simulate seizure activity in a newborn. See Figure 4.
Dispatch:
Medic 9, Respond Code 3 to Trinity Health Elementary School, 315 School Yard Crossing. Unknown injuries. Gridley City Fire on scene. 1330 Dispatch Clear.
On Scene:
In school office: Large build, 12-year-old boy lying on floor. Using a make-up sponge, apply white makeup to the face of patient, blending well along jaw line. Place victim flat on ground with vomitus on front of shirt and floor. Instruct victim to act sleepy with slurred speech on the few comments he responds to. Have school nurse and office staff provide the following feedback to responders. School staff: "Hall monitor was asked to bring student to the office as the student was behaving strangely in class, slurring words and having a difficult a time staying awake. His parents have been called to pick him up from school as the school staff believe he is under the influence of drugs. While the student was waiting for his parents to arrive, he vomited in the office area and slumped over in his chair and onto the floor. Office staff was unable to get him back up and the paramedics were called.
Use in Conjunction With:
- Pallor
- Secretions
Helpful Hint:
Need a Simulator-Safe option? All SIM-Safe vomitus, bile & secretions can be used safely on simulators (and standardized victims) without stain risk.
Cleanup and Storage:
Using a soft clean cloth or make-up remover towel, remove the make-up and vomitus residue from the skin. Vomitus clothing can be laundered normally or stored in moulage box for future use.
Bobbie Merica is a medical/trauma moulage expert, author and owner of Moulage Concepts, an international moulage company specializing in training, supplies and education. Utilizing best practice techniques, Bobbie's teaching methods have simplified the complex, enabling everyone to create Moulage that is quick, cost effective and convincing. Get her free tutorial blog with expert weigh-in at www.moulageconcepts.com/blog and join us in creating moulage that looks, feels, sounds, and even smells like the real thing! Recipe referenced from Emergency Moulage—Making Your Simulations Come Alive by Bobbie Merica; publisher: FA Davis, 2011.
