Traumatic Brain Injury
The Neurotrauma Moulage is a traumatic brain injury
simulator, and incorporates a (very approximate) mathematic model
of neurotrauma physiology. It is designed to simulate a range of
conditions affecting the management of the injured brain, and to
encourage a greater understanding of the main tenets of traumatic
brain injury management - especially the prevention of secondary
You will need an Internet browser that supports
screen resolution. The FAST ultrasound video requires a Quicktime
plugin for your browser (though you can complete the moulage
The initial stages of the moulage take you through
the acute, emergency department management of the head injured patient.
Once on the intensive care unit you are faced with various scenarios
and you have to act to minimise brain ischaemia. You will not be
presented with the next scenario until you've managed to get the
brain back to it's calm, blue, oxygenated state as in the picture
Features of the moulage:
The Neur-O-Vision global ischaemia
monitor is a new, patented and totally fictional technology
that allows real-time visualisation of the degree of global
ischaemia present in the brain.
This highlights how critical periods
in the patient care may reflect severe ischaemia, despite
fairly minor physiological derangements.
The Neurotrauma Moulage monitor shows the
various vital signs available at each stage of patient care,
from the emergency department through to the intensive care
department. Two buttons at the bottom of the monitor screen
allow you to change the display:
button allows you to view all vital signs, as if multimodality
monitoring had been instituted from the moment the patient
arrives in the emergency department.
units button changes the PaCO2 units between kPa and mmHg.
Neurotrauma Physiology Simulator
You can run the the neurotrauma physiology simulator
outside of the moulage scenario to examine cerebral responses to
Trauma.Org's holds several articles on the management of traumatic