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AEI Quarterly

Moulage Extraordinaire in Canada!

The following article was first published in the current issue of Revival, the newsletter produced by the University of Toronto Surgical Skills Centre and SimSinai Centre at Mount Sinai Hospital.

On November 25, 2020, SimSinai was challenged to develop a simulated burn victim using our Laerdal SimMan human patient simulator to support a CCFP training event for residents. The session was supported by our faculty members, Drs. Primiani and Ng. The November 25th event requested a lower-budget model, so we modified the initial moulage creation accordingly. Below, you will find the scenario description from the February 9th symposium used as the basis to create the high-fidelity model. The moulage was created and developed by Marina Romanova, simulation technician, and Lisa Satterthwaite, senior manager of the SimSinai Centre.

Scenario Developer: Kyla Caners

Affiliations/Institution: McMaster University

SimMan human patient simulator. Low-fidelity burn moulage. Photo courtesy of University of Toronto Surgical Skills Centre and SimSinai Centre at Mount Sinai Hospital.
SimMan human patient simulator. Low-fidelity burn moulage. Photo courtesy of University of Toronto Surgical Skills Centre and SimSinai Centre at Mount Sinai Hospital.

A 33 year-old female is dragged out of a burning house and presents to the ED unresponsive. She has soot on her face, singed eyebrows, and burns to her entire chest, the front of her right arm, and part of her right leg. She is hypotensive and tachycardic with a GCS of 3. The team should proceed to intubate, and fluid resuscitate. After this, the team will receive a critical VBG result that reveals profound metabolic acidosis, carboxyhemoglobin of 25, and a lactate of 11. If the potential for cyanide toxicity is recognized and treated, the case will end. If it is not, the patient will proceed to VT arrest.

Photo of group with SimMan human patient simulator. High-fidelity burn moulage. Photo courtesy of University of Toronto Surgical Skills Centre and SimSinai Centre at Mount Sinai Hospital.
Photo of group with SimMan human patient simulator. High-fidelity burn moulage. Photo courtesy of University of Toronto Surgical Skills Centre and SimSinai Centre at Mount Sinai Hospital.

This thrilling scenario lasted 12 minutes and was followed by a 12-minute debrief session. The training event was a big hit and did not go up in SMOKE!

At SimSinai, we pride ourselves in developing scenarios that include mannequins with as much augmented reality as possible. This devotion to detail enables the learner to feel a greater sense of connection to the situation and, in turn, creates an ultimately realistic event. With much imagination, artistry, and clinical knowledge, SimSinai can raise the bar in simulation to meet your learners needs.

Stay tuned for more thrilling medical creations coming soon. Spoiler alert! An esophageal bleed model is in the incubator!