title: Moulage in high-fidelity simulation-a chest wall burn escharotomy model for visual realism and as an educational tool.
abstract: BACKGROUND
  There is a paucity of literature pertaining to the role and techniques of moulage for creating high-fidelity medical simulations. As part of an Intensive Care Crisis Event Management Course, simulation of an extensive torso burn was desired. The aim of the moulage was to enhance the realism of the scenario but additionally to enable a chest wall escharotomy to be performed.
  
  
  METHODS
  A simple step-wise technique for preparing a chest wall burn moulage that may be fitted to mannequins of all sizes and shapes is described.
  
  
  RESULTS
  Utilization of the chest wall moulage as part of an overall strategy to prepare mannequins' for a severe burns scenario is detailed.
  
  
  CONCLUSIONS
  In the case of the chest wall burn model, moulage was used as more than a visual realism enhancing strategy-it served as an educational tool in its own right, permitting demonstration of a procedure performed infrequently outside the walls of major burns centers.
authors.affiliation: The Prince Charles Hospital, Queensland, Australia. carole.foot@rmh.nhs.uk
authors.forename: Carole
authors.initials: C
authors.lastname: Foot
authors.forename: Daniel
authors.initials: D
authors.lastname: Host
authors.forename: Dylan
authors.initials: D
authors.lastname: Campher
authors.forename: Lucas
authors.initials: L
authors.lastname: Tomczak
authors.forename: Marc
authors.initials: M
authors.lastname: Ziegenfuss
authors.forename: Jeremy
authors.initials: J
authors.lastname: Cohen
authors.forename: Leo
authors.initials: L
authors.lastname: Nunnink
mesh_terms: D002056:Burns / Q000628:therapy*; D004501:Education, Medical / Q000379:methods*; D006801:Humans; D008348:Manikins; D035441:Thoracic Wall / Q000293:injuries*