This moulage shows the sacral area with a pressure ulcus in an unattended stage. The tissue has died under continuous pressure and necrotic tissue is visible. The actual size of the necrotic area can not be defined and needs surgical therapy. The moulage adheres on simulated patients or manikins, it can be fixed with special skin glue for longer training sessions. The anal fold is represented to demonstrate the typical challenges when dressing the wound.