The document provides step-by-step instructions for creating realistic moulage makeup effects for emergency response training simulations. It details homemade recipes for simulated blood, bruises, burns, and other injuries using inexpensive and accessible materials. Pictures demonstrate techniques for applying different injury makeup like lacerations, impalements, and burns to achieve graphic but safe effects for training scenarios. The goal is to help emergency responders practice assessing and treating realistic-looking injuries in a controlled training environment.

1. Warning: Graphic pictures are
following… and they are all made
out of homemade recipes…
Want more info? Haley Rich: teensert1@yahoo.com

2. Things We Consider First
Victim comfort
– We confirm there are no known allergies.
– Gets pale? We stop and remove moulage.
– Victim always has a mirror during application.
– We constantly ask if they are alright.
• Any hesitancy? We stop and remove moulage.
– All items needed for moulage are ready
before seating victim.
! !!!

3. Items We Use…
Fiber Therapy

4. Items We Use
“Schkin”
• Cornstarch
• Petroleum Jelly
• Cocoa
Coagulated “Blood”
• Mechanics Grease
• Blue and Red Food Coloring
– 2 parts red to 1 part blue

5. Items We Use
Medium “Blood”
Honey, Corn Syrup, or
Red Dish Soap with
Blue and Red Food
Coloring (2 parts red
to 1 part blue)

6. Items We Use
Thin “Blood”
• Commercial
• Liquid Starch with
Water
– Red and Blue Food
Coloring
Bruise Powder
• Carpenter’s Chalk
– Pink, blue (mixed)

7. Examples of Moulage
Laceration:
• Build up schkin and
“bruise” with powder
and “road rash.”
• “Cut” schkin (with
blunt edge tool).
• Apply coagulated
blood.
• Medium blood in
and all over injury.

8. Examples of Moulage
Stomach Impalement:
• Build up schkin and
bruise with chalk and
“road rash.”
• Place impalement.
• Put coagulated blood
around impalement,
and medium blood all
over injury.

9. Examples of Moulage
Ruptured bowel:
• Use the directions
for an impalement
on the stomach.
• Fill a condom with
prepared oatmeal.
• Press condom over
impalement and
squeeze.

10. “Road Rash”
• Red, black lipstick
• Pond Filter/Sponge
• Slide in angles
• Little bit of schkin
with gravel

11. Lacerations
• Schkin
– Petroleum jelly,
cocoa,
cornstarch
– Red lipstick
– Coagulated
blood
– Medium blood
– Thin blood on
site

12. Impalements
• Same as
lacerations
• Impale object
– Plastic shard
– Medium blood

13. Compound Fractures
• Same as
lacerations
• Impale bone
– Chicken
– Rib
• Cotton
• Red lipstick
• Rubber bands
• Coffee stirrers

14. Step by Step
• Examples of basic
moulage
– Road rash
– Laceration
– Impalement
– Blisters

15. Road Rash
Pond filter/sponge dipped in red lipstick.
In most home improvement stores.

16. Schkin On Road Rash

17. Schkin Smoothing
Petroleum jelly on fingertips allows ease in smoothing.

18. Schkin Smoothing
The goal is to make the edges of the schkin blend with the skin.

19. Laceration in Schkin
Coagulated “blood” applied with a craft stick.

20. Laceration
Medium and thin “blood” would be applied at the exercise site.

21. Impalement
We just gently insert the impalement into the schkin.

22. Impalement Idea
Those flimsy plastic covers for pastries at meetings, etc.?
They make excellent fake glass shards!

23. More Impalement Ideas
Plastic pop bottle top
Bones and “used” shards.
See the thin “blood”?

24. Orbital
We apply a band aid over the eye area, then schkin.
We only do this simulated injury on people we know and trust.

25. Orbital
This flimsy plastic
tool is great!
And smooth out the edges. The white tool is actually an icing spreader
and available at most craft stores.
We gently create the orbital.

26. Orbital
We apply coagulated “blood” on the orbital.

27. Orbital
We would apply the medium and light “bloods” once the victim is placed
for the exercise.

28. Orbital
This is one of our most dramatic examples of moulage!

29. Examples of Moulage
Burn/Blisters:
• Mix fiber therapy with warm
water to consistency of
applesauce.
• Place mixture.
• Apply “road rash” around
injury.
• Fill syringe with petroleum
jelly, squirt “blisters” into
base.
• “Bruise” with powder and add
a little blood.
• Dust with fireplace ash.

30. Fiber Therapy With Warm Water
Pour on quickly! It is like applesauce and then sets up!

31. Smooth Out
Using water, we smooth to about 1/8” thickness.

32. Let It Dry
When none stays on the fingertips (test), it is ready for the next step.

33. Making “Blisters”
We place the tip of a syringe filled with petroleum jelly under the
fiber therapy and push…

34. Blisters
… making simulated blisters.

35. Blisters
It holds up well!

36. Blisters
Then we tap on medium “blood”…

37. Blisters
… and a little ash!

38. Creative Injuries

39. We use coffee stirrers and rubber bands
to simulate veins and tendons.

40. Base for Bullet
Through and Through
A pencil eraser works well with petroleum jelly.
Then just fray the exit part of the injury.

41. Creative Injuries

42. Creative Injuries

43. Creative Injuries

44. Creative Injuries

45. Creative Injuries

46. Creative Injuries

47. Creative Injuries

48. Creative Injuries

49. Creative Injuries

50. Simulation-Conclusion
We conclude our training by assigning an incident to each team.
An Evaluator (usually an Instructor) monitors the teams as they create simulations.

51. Simulation-Conclusion
Teams create scenarios based on their incident and role play.

52. Simulation-Conclusion
This is their “final” and it is usually a blast!

53. Hope You Enjoyed!
Haley Rich
teensert1@yahoo.com
Teen CERT - SERT Slide Show: http://www.fliptrack.com/watch/m5yU1XXirl
Moulage Slide Show: http://www.fliptrack.com/watch/EA6SpiJDFJ
Many thanks to the Arapahoe County Sheriff’s Office and Community Emergency
Response Team, Pueblo West High School, and John Scott!
Homemade kits: Sue Campbell
campbell2440@yahoo.com