Doom and Bloom: Medical Improvisations – DIY Techniques for Survival First Aid & Hygiene

The Altons at Doom and Bloom Medical have an article published in OffGrid magazine by Recoil, issue 36 – Medical Improvisations – DIY Techniques for Survival First Aid & Hygiene

We live in a world where established safety measures, if followed, prevent a lot of injuries. Unfortunately, they’ll never prevent all injuries. There were an estimated 45 million incidents of trauma in the U.S. last year that required an emergency room visit. Car wrecks, outdoor injuries, industrial accidents, and other mishaps contribute to a whole lot of hurt in good times. That leaves us to wonder: How would this change in bad times?

Let’s face it, people get injured and sick whether or not there’s a rescue helicopter on the horizon. Broken bones, bleeding, sprains, and other issues will need to be treated.

If the modern emergency system breaks down, is overloaded, or simply too far away, someone in the family or group will become the highest medical asset left. Certified or not, they’ll be the end of the line with regards to the medical well-being of their people. Without equipment and know-how, deaths will occur that could’ve been prevented with a good medical kit and knowledge of basic first aid.

People prepare for the worst by accumulating food, water, personal protection items, and more. The wisest of them also stockpile a good supply of medical equipment and medicines as well. In a short-term event, those with training and equipment will save many lives. But what happens when the medic bag is empty?

All is not lost. Necessity, they say, is the mother of invention. The resourceful will make do with found objects. A variety of items on the trail or in abandoned buildings can serve as medical supplies. All it takes is an instinct to explore, a good eye, and some imagination.

Before we begin, it should be mentioned that the medical improvisations below are stopgap measures for dire situations when traditional medical resources and treatment are not available — unfortunately, the current Coronavirus / COVID-19 outbreak may be one such circumstance, if it continues to worsen. Improvised methods are rarely as successful as modern technology and equipment (if used properly). Having said that, some of the strategies below might just save lives in times of trouble.


You can last quite a while without food, but only about three days without water. Even when there’s a water source nearby, you can’t see the microscopic organisms that make you sick. In survival settings, more lives may be lost by diseases due to contaminated water than bullet wounds.

With a clear plastic PET (polyethelene terephthalate) bottle, you can make water safer. It shouldn’t be hard to find; approximately 500 billion are produced every year. Unless you have a purpose-built water filter like the Sawyer Mini or LifeStraw, you’ll need containers to: 1) filter out particulates that make the water cloudy, and 2) destroy disease-causing microbes in the water.

To improvise a filter, you’ll need the following items that you might find by scavenging, or in your medical kit…


Practical Self Reliance: Homemade Hand Sanitizer Gel

Ashley Adamant at Practical Self Reliance tells us how to make our own hand sanitizer gel.

Homemade hand sanitizer is surprisingly easy to make, and it’s a great way to fight germs when you can’t get to a sink to wash your hands.

Homemade hand sanitizer gel

Hand sanitizer is one of the first things to disappear during an outbreak, second only to face masks.  Just days after the first community transmission of COVID-19, shelves emptied as people suddenly rushed out to buy hand sanitizer.

I’ll admit it, I was one of those people that bought a bottle once the virus reached the US.

Hand sanitizer isn’t generally a part of our lives, and under normal circumstances, I’d rather just wash my hands regularly and rely on my strong immune system.

This flu season though, as I watch people sneeze their way down the aisles of the supermarket, I find myself wishing I had a little bottle in my pocket.

I found a bottle easy enough, but just days later the store shelves were empty and most people weren’t as lucky.

In truth, substitutes for commercial hand sanitizers are actually really easy to make.  The active ingredient is just rubbing alcohol, and so long as your homemade hand sanitizer is at least 60% alcohol, it’s effective when used properly according to the CDC.

Simply putting rubbing alcohol in a small spritz bottle will do the trick, so long as you thoroughly wet your hands, rubbing to get between your fingers and such.

That said, if you’re looking for a more elegant solution, I’ve found a few options for homemade purell substitutes.

What’s In Purell?

So for starters, what’s actually in purell anyway?

The ingredients list is pretty long, but once you decode it, it’s actually just three basic things:

  • Water ~ Still not sure why this is the first ingredient when it’s more than 60% alcohol?
  • Isopropyl Alcohol ~ The active ingredient that’s doing all the hard work.
  • Caprylyl Glycol ~ Skin conditioner
  • Glycerin ~ Antimicrobial properties, and natural skin conditioner
  • Isopropyl Myristate ~ Emmoliant that promotes skin absorption (for skin conditioners)
  • Tocopheryl Acetate ~ Vitamin e for skincare
  • Acrylates/C10-30 Alkyl Acrylate Crosspolymer ~ “is a synthetic ingredient used as a thickening agent, texture enhancer, film-forming agent, and emulsifier in cosmetics and personal care products.” (Source)
  • Aminomethyl Propanol ~ Buffer to adjust pH
  • Fragrance ~ With all that rubbing alcohol, this really helps sell it…

So in a nutshell, gel hand sanitizers are denatured alcohol, skin conditioners and some kind of gelling agent.  That’s it.

The skin conditioners are handy if you’re using it multiple times a day, and can help prevent dry hands. In truth they’re optional, and using a separate lotion works just as well to prevent dry skin.

Gelling agents are there to help the sanitizer sit neatly in your hand and prevents dripping, which in turn results in more people using it.  If it drips on your lap or makes a mess, you’re less likely to use it.  That said, they’re not actually sanitizing your hands…so also optional.

So the only thing sanitizing your hands is alcohol (and maybe the glycerine if you want to get technical).  The simplest option for an effective homemade hand sanitizer is simply rubbing alcohol (at least 60%) in a squirt or spray bottle.

That said, if you’d like to actually try to re-create a gel hand sanitizer with skin conditioners and a gel texture, read on….

How to Make Hand Sanitizer Gel

There’s a recipe circulating on the internet for a really simple homemade gel hand sanitizer that simply uses 2 parts 90+% rubbing alcohol and 1 part aloe vera gel.

My first thought was that with 2 parts alcohol it’d never be a “gel,” but I put it to the test…

Homemade hand sanitizer gel ingredients

The alcohol is doing the sanitizing work, and the aloe vera gel adds both skin conditioners and a gel-like texture, at least in theory.

Aloe vera gel, however, is actually mostly alcohol.  Or at least most of the bright green “after sun gel” bottles commonly available.  Their ingredients list stats exactly the same way as purell…water, denatured alcohol, glycerine, followed by a long list of stabilizers and gelling agents, with just a teeny tiny bit of aloe juice.

I doubt aloe gel is anywhere near the required 60% alcohol, but it is full of chemical gelling agents that work in the presence of alcohol (plus a few skin conditioners for good measure).

(It’s actually hard to make a gel from alcohol.  Things like agar, gelatin, and arrowroot won’t work in a high alcohol solution.  I tried, for science, to come up with a more natural version, but polymers are what works…)

One part aloe gel and two parts alcohol went into a bottle…

Making homemade hand sanitizer gel

Two parts alcohol (91%) with 1 part aloe gel in a bottle, not yet mixed.

It took a lot of shaking to get them to combine, and initially, the mixture was pretty thin.  I was unconvinced.

About a half an hour later when I picked up the bottle, it had actually thickened considerably.  Give it a shake and it’d actually hold air bubbles within the gel in the bottle.

Look closely, you can see them in there, held in a totally passable homemade hand sanitizer gel.

Hand sanitizer with aloe gel forms a loose gel that actually holds bubbles and is a good bit thicker than alcohol alone.

There is one more crucial part missing…fragrance.  While it is technically optional, this stuff smells horrible.  Or, more accurately, it smells like very strong rubbing alcohol, which is a little nasty.

I asked my husband to put it on his hands just so I could take a picture for the article and he straight up refused.  Too stinky.

If you’re going to convince anyone to use this, consider adding a few drops of some kind of fragrance.  Something like lavender or tea tree essential oil, which also have anti-microbial properties…

Continue reading about how to make a homemade sanitizer spray as well at Practical Self Reliance.