Moulage for Electrical Burns, Lightning


CarolinaFireJournal - By Bobbie Merica
By Bobbie Merica
01/10/2015 -

Objective

The objective of this moulage training scenario is to assist responders in creating moulage specific to electrical burns caused by lightning, treating the symptoms that may accompany an electrical burn and assisting educators in creating training scenarios that enable utilization of appropriate triage interventions and wound management.

Electrical burn caused by lightning.

Time: 3-4 minutes
Skill Level: Beginner
Supplies:
Moulage gel, flesh-pink
Moulage gel, clear
SIM-Safe stix, yellow
Setting Powder
Equipment:
Make-up brush
Hotpot
Small paintbrush
Technique

Cool your flesh-pink moulage gel to 110. Using a small paintbrush, create a long, thin streak of gel (approximately two to three inches long by one-eighth inch wide) outward from impact point of electrical burn. Create small (approximately one-quarter to one-half inch) lines jutting outward, off the original line. Continue creating additional lines outward, connecting one to the other to develop a branching pattern. Allow moulage gel to set, 30 to 40 seconds or until set.

Using a soft make-up brush or blush brush dipped in setting powder, lightly brush the powder over the moulage gel pattern. In addition to lightening the burn color and blendings to the skin, it also set the moulage gel.

Forming blisters: Using your clear moulage gel and a Masonite board (or tile) place multiple small (approximately the head of a pencil eraser) droplets of moulage gel on the board and allow to set. To create rails of blisters, create long thin lines of moulage gel on the work surface — allow moulage gel to set firmly, approximately 30 to 40 seconds.

Using your fingers or a toothpick, lift blisters from work surface and press into the surface of the flesh-pink moulage gel to adhere. Using a small paintbrush with yellow colorant, lightly coat surface of blisters to create a fluid filled appearance.

Value-based training: Create a quick exit wound: Using charcoal powder and a stipple sponge, apply a small amount of colorant to skin (choose a secondary location requiring the responder to look for both entry and exit points) and blend the powder gently outward into the skin.

Cost effective: Electrical burn patterns are easy to apply and cost effective; at approximately 35 cents a wound, very little moulage gel is required to create a raised skin appearance that mimics electrical current burns when applied to the skin.

Quick: Blisters can be made in advance and re-used multiple times if training with simulators. Standardized victims: At less then a penny per blister and for sterility reasons, we don’t advocate reusing your blisters — send them homes with your victims as a souvenir from the training or discard in trash.

Convincing: Rating: A. Moulage gel offers a three-dimensional wound view that simulates a realistic lightening burn with accompanying fluid filled blisters.

Training Scenario

Dispatch:

Medic 5, respond Code 3 Butte Hill Country Club, reports of a victim struck with lightning; unknown injuries. Hwy 1, nearest cross street, Malibu Drive. Contra County Fire responding 1615 hours. Dispatch clear.

On Scene:

Dress your victim in a pretreated charred shirt. Create shirt using scissors. Material fraying created by cutting several small slashes to the front of a light colored shirt and tearing the material further with your hands. Using a large paintbrush that has been dipped in SIM-Safe charcoal powder, lightly charcoal mixture to the front and side and torn areas of the material. Create an exit point on the foot of the victim by applying a small amount of charcoal powder with a paintbrush to the underside of the toes, at the bottom of the foot. Use a small pair of scissors to create fraying on the toe area of the shoe before apply additional charcoal powder with large brush.

Using a make-up sponge, apply white makeup to the face of victim, blending well. Create beads of sweat on the skin by applying a light mist of pre made sweat mixture to the forehead, chin and upper lip of patient. Using a comb, dishevel victim’s hair and clothes.

Position the victim flat on their back and instruct them to behave disoriented, or if using a simulator, set vitals to require CPR assistance.

Use in Conjunction With:

Abrasions, superficial

Burn odor

Cleanup and Storage:

Using a soft clean cloth or make-up remover towelette, wipe away the make-up, and sweat mixture from the skin of the victim. Treated garments can be sealed in a plastic bag with (cooled) debris particles from a fireplace to transfer the smell of smoke onto the garment. Electrical burn may be removed with soap and water. Blisters, if used on a simulator can be carefully removed and reused. Store blisters on a waxed paper–covered cardboard wound tray. Blisters should be stored side-by-side, but they should not touch to avoid cross-color transference. Loosely wrap wound trays with plastic wrap and store flat in cool place.

(This article/photos are the property of “MoulageConcepts. Copyright and other intellectual property laws protect these materials. Reproduction or retransmission of the materials, in whole or in part, in any manner, without the prior written consent of the copyright holder, is a violation of copyright law. All subject matter must be referenced back to www.moulageconcepts.com.)

Bobbie Merica is the owner of Moulage Concepts and author of several books based on her medical and moulage and trauma workshops. Visit www.moulageconcepts.comor call 530-877-2628 for more information.
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