Wednesday, October 20, 2010

Medical Moulage Anyone? see pics below

I was able to participate in a medical moulage activity for a western U.S. burn conference being hosted this year at my hospital’s Bothin Burn Center where I was made up as an electrical burn patient. Then nurses seeking advanced burn care certification tested on me explaining the care they would provide for a patient with my symptoms, etc. This was really interesting and I enjoyed it. The nurses I worked with were very impressive and inspiring. 

I learned all about: Moulage (a French word meaning casting/molding) is the art of applying mock injuries for the purpose of training Emergency Response Teams and other medical and military personnel. Moulage may simple or vary complicated and complex including theatre to provide additional elements of realism. I can also help desensitize military personnel and others to the shock of injuries.

Practicing ER and ICB (Intensive Care Burn Unit) nurses had to talk through the care they would provide for me with electrical burns. The part I found so cool was that I could follow it all and in fact I knew it all! While waiting for the moulage activities to start I asked the nurse running my scenario if I could test with her first on myself. She said sure, and I was able to say what I would do for a patient in my condition just like the other nurses would later do on me. We talked through the entire scenario and she said I hit all the major points. This made me feel really confident, even though I just finished learning about burns and shock and just completed exams on it so I should have known it! I was impressed that I really had learned all I needed to know in my pathophysiology and medical surgical classes. That there were no details or more advanced actions that had been left out or censored for my novice nurse learning.

Also, I was super impressed by the nurse running my scenario. If nursing had rock stars she would have a burn care rock star. She was amazing and her experience and competency was incredible. Nurses provide the majority of specialized burn care and therefore they are uniquely prepared for handling burn patients versus all other medical professionals.

It’s still not the area for me though. Below are some pictures of how they made me up! They did it from scratch with putty and paint!

My story was this: I was a tree trimmer who accidentally hit a power line while trimming a tree and got shocked with 100,000 + volts. I lost consciousness and was disoriented and brought directly to the hospital without any care bring provided to me.  I had neck pain (cervical fracture due to voltage down my neck), and second and third degree burns on my hands and arms. (white paint = third degree) if you can see in the pics I had peeling skin on my upper arm. Also I have entranc and exit wounds on my hands. Because my burn was electrical I had more internal damage than external visible damage however other "moulage victims" had more extensive visable burns.. but I wont put up their pictures without asking them first.

left hand = entrance wound
right hand = exit wound
getting done up (makeup time)
all made up, sorry its hard to see the make up with the lighting

Wednesday, October 6, 2010

If you want to know more

This discovery health website describes a skin graft procedure and burns with minimal extraneous information or details. It very well describes what some of what I saw and did in the burn unit including a skin graft and care of burns and post skin graft wounds. check it out if you want to know more.

http://health.howstuffworks.com/skin-care/information/anatomy/skin-graft.htm/printable

Tuesday, October 5, 2010

program seems soo long

Some days, the program seems soo long. All the summer breaks are nice but they extend the program by almost two years and some days the end is so far off it's exhausting to see how much more I have to go. I am glad I am doing it but wish it would take a little less time, I am already tired of being a student again. And I think Ruby is tired too! lol