At the point of injury, critical medical tasks include finding and identifying the injury as well as applying the appropriate initial care. A considerable amount of research and development has already occurred to increase the fidelity of simulated wounds for training, primarily at the point of injury. As material and moulage techniques mature, and as more relevant data is collected on tissue properties, it is worth examining what fidelity is really required for training at the point of injury. This effort will explore the current state of wound simulation and propose a basic test methodology to assess what fidelity is adequate. Secondly, this effort will analyze the differences in technology effectiveness of two and three dimensional (2D and 3D) wound moulage. Other factors that will be examined including cost comparisons between the average 2D wound and silicon-based 3D wound, as well as the time to apply each type of moulage. Finally, conclusions will be discussed on the training effectiveness of the two types of moulage and recommendations will be made on the appropriate use of each in medical training.