Real FX Simulation
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Bringing injuries to life for medical training
Showcasing the art of moulage, realism & simulation
15/09/2026
What an intense (and brilliant!) day of moulage training with the LIVES education team.
We covered a whole range of injuries, from bruising and fractures to lacerations and complex open wounds, building the skills and confidence to create realistic casualty simulations.
And you know you’ve got an eager team when you demonstrate on an on skin silicone moulage… and their FIRST attempts go straight to full elite mode - A haemorrhaging neck wound and arm wound with active bleeding — not bad for a first go!
Well done team on an awesome day. It was fantastic to see your creativity, attention to detail and enthusiasm come through.
What Is Moulage?
We’ve had so many new people join us recently, so we thought we’d take a moment to introduce ourselves — and what we actually mean when we talk about moulage.
Moulage isn’t just about creating injuries with makeup.
It’s about realism, education and simulation.
It can mean replicating different injury patterns, creating realistic training scenarios, developing task trainers and products, and helping healthcare professionals learn and practise skills in a safe environment.
From wounds and burns to silicone products, task trainers and hands-on moulage training, we’re interested in how we can make simulation feel more realistic, meaningful and useful.
We’re Real FX Simulation.
And if you’re new here — welcome!
When SimTechs are told to go and have a play with the simulation equipment at Sim Tech Live… they don’t hold back!
Getting hands-on, packing wounds, getting squirted with fake blood and putting the equipment through its paces.
There was a great message around the importance of play — because getting hands-on, being practical and having a go is such an important part of learning for all.
24/07/2026
We need your expertise…
We’ve reached an exciting stage where our new silicone wound trainers are ready for evaluation.
We would love to get it into the hands of people who regularly teach or perform wound closure techniques looking for help evaluate our reusable wound trainers.
If you’d be interested in putting one of our prototypes through its paces and sharing your honest feedback, I’d love to hear from you.
Drop me a message or leave a comment below.
One of the biggest lessons I learned when creating moulage for military medical training was.
Real injuries aren’t always clean.
It’s tempting to create wounds that look dramatic, but adding dirt, dust and debris isn’t just about realism, It changes the clinical picture.
Suddenly, learners have to think beyond the injury itself:
• Is this wound contaminated?
• Does it need irrigation?
• What are the infection risks?
• Will antibiotics be needed?
• What does the environment tell us about the mechanism of injury?
Great moulage isn’t just about creating a realistic wound.
It’s about creating a realistic patient.
In simulation moulage needs to tells a story
10/07/2026
Would you use a blood with a realistic metallic smell?
I was recently sent a sample of metallic-scented blood for use in moulage and simulation.
As someone who is very sensitive to smells, I applied a little to a simulated wound on my hand and skin and instantly turned my stomach, the smell was pretty effective!
It got me thinking about the role of scent in simulation. Over the years, I’ve used scents in training before – burnt hair smells, sour vomit, and even pear drops to replicate the sweet, fruity smell sometimes associated with diabetic ketoacidosis.
The reactions they provoke are often immediate and very human, adding another layer of realism to a scenario.
But it also raises another question…
What does this mean for our standarised patients and end users, moulage specialists? We already ask a lot of them – makeup, moulage, emotional performances, physical effects and long training days. Could adding strong scents enhance realism, or might it become too much for those involved in delivering the simulation?
🩸 Do you, would you use scented effects in your simulations?
🩸 Have you used scents before, and what was the impact?
🩸 Do the benefits outweigh the potential drawbacks?
🩸 And how do we balance realism with the comfort and wellbeing of our simulated patients and participants?
So, I’d love to hear your thoughts, would you use a blood with a metallic smell?
This simulated injury was created to represent facial injuries caused by an impact and small wounds caused by broken glass.
The process included:
• Building layered bruising around the eye socket and forehead using alcohol activated paints and cream colours
• Creating realistic tissue trauma with Real Wound Sculpt on skin silicone and colour details to the facial lacerations.
• Finishing with blood effects, Real FX Blood Bright and Dark, and then embedded silicone glass fragments at the end.
It’s the small details and layering that make an injury believable in simulation and training.
How long do you think the moulage took to create?
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