Moulage Dunwich.jpg
   HOME

TheInfoList



OR:

Moulage () is the art of applying mock injuries for the purpose of training emergency response teams and other medical and military personnel. Moulage may be as simple as applying pre-made rubber or latex "wounds" to a healthy "patient's" limbs, chest, head, etc., or as complex as using makeup and theatre techniques to provide elements of realism (such as blood,
vomitus Vomiting (also known as emesis and throwing up) is the involuntary, forceful expulsion of the contents of one's stomach through the mouth and sometimes the nose. Vomiting can be the result of ailments like food poisoning, gastroenteritis ...
,
open fractures A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a '' ...
, etc.) to the training simulation. The practice dates to at least the Renaissance, when
wax figure A wax sculpture is a depiction made using a waxy substance. Often these are effigies, usually of a notable individual, but there are also death masks and scenes with many figures, mostly in relief. The properties of beeswax make it an excell ...
s were used for this purpose. In Germany some universities and hospitals use their historical moulage collections for the training of students. The often very lifelike models are especially useful to show the students today the characteristics of rare diseases, such as skin tuberculosis or leprosy.


History

Up until the 16th century, European scientists had little knowledge about human anatomy and anatomy of animals. Medical students of Bologna and Paris studied the books of Aristotle, Galen, and other Greek scholars. Four centuries after the invasion by the Arabs and the fall of Rome and Persia, many Greek books were translated into the Arabic language. European scientists then translated these Arabic books into the Latin and Greek languages. In the medical field, this led to a reliance on Galen as a medical authority in European countries. In European medical schools the professors of anatomy merely lectured from Galen, without any dissection of the human body, and Galen’s books were the only way to learn anatomy. Andreas Vesalius (1514–1564), a Flemish anatomist, was at first a "Galenist" at the University of Paris. When he moved to Italy and entered the University of Padua, he began dissecting human bodies. He studied many details of human anatomy and found that Galen made some anatomical mistakes. For example, Galen wrote that the sternum has seven segments, but Vesalius found it has three segments. Galen wrote that the bone of the arm is the longest bone in the human body, but Vesalius found that the bone of the thigh is actually the longest bone in human body. At age 25 Vesalius realized that the anatomical knowledge of Galen was derived from animal anatomy and therefore Galen had never dissected a human body. In 1543 Vesalius wrote an anatomical masterwork named in Latin ''De humani corporis fabrica libri septem'' ("On the fabric of the human body in seven books"), or in short ''De Fabrica''. The book included drawings of human females and males with their skins dissected. These pictures greatly influenced the creation of future anatomical wax models. The anatomical pictures of Vesalius were followed by those of Johann Vesling ("Veslingius") and
Hieronymus Fabricius Girolamo Fabrici d'Acquapendente, also known as Girolamo Fabrizio or Hieronymus Fabricius (20 May 1533 – 21 May 1619), was a pioneering anatomist and surgeon known in medical science as "The Father of Embryology." Life and accomplishments ...
. By 1600 Fabricius had gathered 300 anatomical paintings and made an anatomical atlas named the ''Tabulae Pictae''.
Giulio Cesare Casseri Giulio Cesare Casseri (1552 – 8 March 1616), also written as Giulio Casser, Giulio Casserio of Piacenza or Latinized as Iulius Casserius Placentinus, Giulio Casserio, was an Italian anatomist. He is best known for the books ''Tabulae anatomicae ...
("Casserius"), Spighelius, and William Harvey are other followers of the pictures of Andreas Vesalius. The ''Tabulae anatomicae'' of
Bartolomeo Eustachi Bartolomeo Eustachi (c. 1500–1510 – 27 August 1574), also known by his Latin name of Bartholomaeus Eustachius (), was an Italian anatomist and one of the founders of the science of human anatomy. Biography Bartolomeo Eustachio (known as Eu ...
("Eustachius") (1552), printed in 1714, had a major effect on the history of anatomical wax models. This work so affected Pope Benedict XIV that he ordered construction of a museum of anatomy in Bologna In 1742, named Ercole Lelli and featuring anatomical wax models. Felice Fontana made cadaveric specimens into wax models by the casting method for anatomical teaching. The history of wax models is ancient. Wax anatomical models were first made by Gaetano Giulio Zummo (1656–1701) who first worked in Naples, then Florence, and finally Paris, where he was granted monopoly right by Louis XIV. Later, Jules Baretta (1834–1923) made more than 2000 wax models in Hospital Saint-Louis, Paris, where more than 4000 wax models were collected. While wax models were being made, he made pleasant conversations with the patients, sang songs or at times played the piano. Moulages were made for the education of dermatologists around the world, but were eventually replaced by color slides.


Wax sculpture, use in moulage

The modeling of the soft parts of dissections, teaching illustrations of anatomy, was first practiced at Florence during the Renaissance. The practice of moulage, or the depiction of human anatomy and different diseases taken from directly casting from the body using (in the early period) gelatine moulds, later alginate or silicone moulds, used wax as its primary material (later to be replaced by latex and rubber). Some moulages were directly cast from the bodies of diseased subjects, others from healthy subjects to which disease features (blisters, sores, growths, rashes) were skilfully applied with wax and pigments. During the 19th century, moulage evolved into three-dimensional, realistic representations of diseased parts of the human body. These can be seen in many European medical museums, notably the Spitzner collection currently in Brussels, the Charite Hospital museum in Berlin and the
Gordon Museum of Pathology The Gordon Museum of Pathology is a medical museum that is part of King's College London in London, England. It is one of the largest pathology museums in the world and is the largest medical museum in the United Kingdom. Its primary function is ...
at Guy's Hospital in London UK. A comprehensive book monograph on moulages is "Diseases in Wax: the History of Medical Moulage" by Thomas Schnalke (Author) the director of the Charite Museum and Kathy Spatschek (Translator). In the 19th century moulage was taken of medical patients for educational purposes. The prepared model was painted to mimic the original disease. Nowadays anatomicals model are an important instrument of education of human anatomy in department of anatomy and biological sciences in medical schools.


Modern moulage

Moulage has evolved dramatically since its original intent. In modern terms, the word moulage refers to the use of "special effects makeup (SPFX) and casting or moulding techniques that replicate illnesses or wounds" in simulation based techniques. Common examples include designing diabetic wounds, creating burns or other illness effects, like dermatological rashes and
gunshot wounds A gunshot wound (GSW) is a penetrating injury caused by a projectile (e.g. a bullet) from a gun (typically firearm or air gun). Damages may include bleeding, bone fractures, organ damage, wound infection, loss of the ability to move part ...
. These illness and injury effects are applied to training manikins or simulated or standardized patients for training or other purposes. Simulation staff attend training to learn these techniques. It is argued that the use of moulage in simulation improves realism or participant buy-in. Moulage is an emerging field of research for paramedicine, radiography and medical education, with researchers exploring how moulage contributes to learning in training. Military training utilises highly-authentic moulage techniques to desensitise to graphic wounds, prepare for battle, and treat injuries. New advancements in the field include using tattooed injuries and moulage through
augmented reality Augmented reality (AR) is an interactive experience that combines the real world and computer-generated content. The content can span multiple sensory modalities, including visual, auditory, haptic, somatosensory and olfactory. AR can be de ...
. The level of authenticity required for moulage remains unclear.


See also

* Makeup * EMS * Objective Structured Clinical Examinations (OSCE) *
Theatrical blood Theatrical blood, stage blood or fake blood is anything used as a substitute for blood in a theatrical or cinematic performance. For example, in the special effects industry, when a director needs to simulate an actor being shot or cut, a wide ...


References


External links


Sammlungen
International Overview of moulage collections of the
Charité The Charité – Universitätsmedizin Berlin (Charité – Berlin University of Medicine) is one of Europe's largest university hospitals, affiliated with Humboldt University and Free University Berlin. With numerous Collaborative Research Cen ...
Berlin
Museum of Moulages, University of Zurich
(English/ German) * * *{{cite news , first=Ken , last=Gordon , date=December 3, 2011 , title=OSU clinical instructor crafts simulated injuries, giving nursing students a more realistic look at trauma , work=The Columbus Dispatch , url=http://www.dispatch.com/content/stories/life_and_entertainment/2011/12/03/the-moulage-queen.html , accessdate=December 3, 2011 First aid Medical simulation