Moulage is often overlooked and underutilized. A multi-system trauma simulation was created for learners to follow appropriate trauma assessment steps and reorder if necessary. A cost effective functional arterial bleed, distracting leg ambulation, and chest wounds were created. During the debrief learners realized how distracting injuries can harm patient outcomes. The simulation was a success due to the advanced moulage techniques incorporated. **Partially obstructed video at times