Doom and Bloom

Tonsillitis In Austere Settings

Tonsillitis In Austere Settings 300 168 Greg Ellifritz


The basics of diagnosing and treating tonsillitis when definitive medical care is unavailable.  If you travel with children, this is critical information.


Wound Closure with Super Glue

Wound Closure with Super Glue 225 225 Greg Ellifritz

In very remote areas without available medical attention, it might be necessary to close a wound.  Doing so with steri-strips is the easiest method, but steri-strips don’t always work in extremely wet conditions.


The next best option is to use a tissue glue.  Super Glue or Crazy Glue is of a very similar chemical composition and may be easier to find.  I always carry a tube of the gel superglue in my third world first aid kit.


The article below goes into great detail about how to effectively use the glue to close a laceration.  Highly recommended.


Skin Glue in Survival

First Aid for Sand Fly Bites

First Aid for Sand Fly Bites 960 720 Greg Ellifritz

If you travel to tropical environments (especially to beach areas in those environments) you are likely to encounter various insect bites.  The article below describes some of the likely suspects and goes over some useful treatment protocols.


Sand Fleas and Flies


I’ve had quite a bit of experience dealing with sand fly bites in the Caribbean, Egypt, and South America.  Besides the advice provided in the linked article above, I have a few more suggestions.


If the hydrocortisone cream recommended in the article isn’t stopping the itch, you could also try a topical corticosteroid called triamcinolone.  It is commonly sold in foreign pharmacies and is more potent than the OTC hydrocortisone you can buy here in the States.  The triamcinolone shouldn’t be used on sensitive areas of the body (genitals, face, etc.) because it may cause irritation or skin thickening.  I’m not a doctor and this isn’t medical advice, but I’ve had good luck with this product if OTC hydrocortisone fails.


If the rash persists for more than a couple days, visit a doctor.  You may also check out the local pharmacy.  In most countries in the developing world, pharmacies sell tubes of combination steroid/anti-fungal/antibiotic creams over the counter.  That makes a precise diagnosis unnecessary if you can’t make it to the doctor.  No matter what is causing the skin irritation, these multidrug creams take care of the problem.


If itching insect bites or rashes are driving you crazy and you have no medication, try hot water. Place the affected area under water (as hot as you can stand) for three to five minutes.  The hot water might neutralize the toxins that cause the rash.  The effect is only temporary, however.  You may need to repeat the process every couple hours.  Ammonia may also work to temporarily relieve the itching from some bites.

The author of the linked article wrote a book called Survival Medicine.  Check it out if you are looking for more medical information.  It is an excellent reference.



My arm after sleeping on the beach in a hammock in Colombia.  Unfortunately the hammock’s mosquito net was made for Colombian-sized people. When your limbs touch the net, the sandflies just chew right through…and yes, I was wearing DEET.



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