Mirza Dhirendra

On paper, multi-purpose products are a no brainer. Something that washes your body, your face, and your hair is an economical purchase, plus it also saves time (and caddy real estate) in the shower. But it’s worth questioning whether 3-in-1 washes, among hybrid products, are the most optimal choice for skin and hair care consumers, especially with brands like Xbox trying to embark on the territory.

Pantene introduced some of the first 2-in-1 shampoo and conditioner products back in the '80s with the signature ingredient Polyquaternium-10. From there, the phenomenon expanded to other parts of the body and the rest is essentially history. The key word here is "care": Is it all that care-ful to shampoo with your body wash, given the fragility of our hair? Plus, if you’ve got oily complexion and I’ve got sensitive skin, then that 3-in-1 product is going to react quite differently on our faces. Our needs are different, and a universal product doesn’t necessarily factor that into the equation.

Our skepticism toward these products starts with another multi-use formula that men in particular love: the 2-in-1 shampoo-conditioner. Greg Ruggeri, owner of Salon Ruggeri in New York, echoes my gripes. “I think that that’s a pretty hard stretch to successfully achieve,” he said. That’s because shampoo strips your scalp of the oils that keep hair lustrous and healthy. Conditioners go in and repair the clean-but-dry hair by delivering nutrients and moisture to each strand, as well as the scalp. Combining them nullifies the conditioner, because it needs to standalone. It needs to be the final step, not a joint one.

“These products will definitely clean your hair,” he adds. “But if you want your hair to feel silky smooth, these products won’t do that.” For that reason, 2-in-1 hair products should instead be counted as a hydrating (read: less drying) shampoo, but still one that requires standalone conditioner after the fact.

For a second opinion on the 3-in-1 cleanser, we sought expertise from board-certified dermatologist Dhaval Bhanusali in New York. “Facial skin is much thinner than body skin and is more prone to react or get irritated than body skin,” he explained. “And the hair may need different ingredients to nurture the follicles.”

Bhanusali regularly sees patients who have an oily scalp but a dry face (this qualifies as combination skin), and he says that these patients are prime candidates for irritation if the proper products aren’t used. And, it’s no surprise that no such cleanser exists to address both concerns. But consumers eat up the multi-use products, and I see a new half dozen or more each month. So, clearly they don’t disrupt guys’ routines enough to be shelved. Or rather, enough guys have favorable experiences, so these triple washes are worth stocking.

We also wanted to hear from a brand owner on the matter—someone who helped craft a multi-use product, so we went to V76 by Vaughn and asked stylist and V76 founder Vaughn Acord about his 4-in-1 product. (It also works as a shave cream in addition to triple cleansing power.)

After testing the product multiple times on different lengths of hair, we noticed one key difference: Shorter hair is mostly unbothered by V76’s 4-in-1 and even seems to appreciate the efficiency as it flushes an oily scalp clean. When the same product was used roughly six months later on the same scalp with longer hair, the hair shaft felt limp like any other shampoo. It also cleanses an oily face and body, sans problems. Technically, it never promised to be a conditioner though so it does deliver on its task of cleansing everything.

Acord pointed out that the target consumer of these multi-use products are often short-haired men, or even bald guys: “Keep in mind the general length of men’s hair doesn’t always necessitate the use of conditioner. I recommend using a conditioner for guys with drier textures or more length,” he says.

In other words, it’s OK if that 3-in-1 (or 4-in-1) dries out the hair, because there isn’t enough hair in the first place; the texture and composition of each hair won’t be altered like with longer hair. He also notes that any successful multi-hyphenate products need to be clean, rich, and hydrating, which usually boils down to having the right ingredients and formula.

“Read the label, and pick a product that uses clean and safe ingredients that promote hydration and moisturization [for face, body, scalp, and hair],” he adds. For the record, one such ingredient in V76’s product is “the light type of coconut oil,” which soothes skin and thwarts bacterial growth. Another, bamboo stem extract, is rich in organic silica, which skin uses to maintain elasticity.

If you have hair that is long enough to spike up or texturize, then it’s best to keep your hair care routine separate from your skincare regimen. It’s as simple as that. However, if that all-over cleanser doesn’t disagree with your face, then use it on your body too. That’s the good litmus test: Does your face react neutrally or positively? Then by all means, wash your body with it too.

There are many 2-in-1 body and face cleansers that already pursue this task, and which succeed at it famously. The best among them, and the near-unanimous favorite of dermatologists, is Dove soap. I like using the sensitive skin one, because it more or less uses the face as a baseline, since it’s far more sensitive than the body to detergents. With that reasoning—that it’s great for cleansing the face—then it’s also a good body bar. Just don’t try shampooing with it.

Here are some of our favorite multi-function washes. Use them all over your body if you’ve got short hair and not-so-sensitive skin. Or, simply use them as a 2-in-1 cleanser of both face and body, and invest in a standalone pair of shampoo and conditioner. Oh, and just as you should follow a shampoo with conditioner, always follow a cleanser with a moisturizer.

No sulfates in sight. But there is jojoba, shea butter, and sea kelp (among other nourishing ingredients) to ensure you don’t parch your hair or skin. Chase it with a conditioner.

This one feels foremost like a shampoo, which is why I like it for the category. You’ll still need to follow it with a conditioner. And as a bonus, it’s also an effective shave cream.

An oil-derived cleanser that expels excess grease, leaving skin and hair nourished in its wake. Again, follow with a conditioner, and save some soap to clean the dishes or the dog!

There aren’t enough reassuring and clean ingredients in this one—it’s a lot of synthetics. I like it as a body wash, and even appreciate that they market Facial Fuel separately as a face cleanser. I just won’t be washing my hair with either.

Adidas claims that this product “respects your face and conditions your hair”. It does neither. But it’s a decent body wash, sure.

A combination of pressures – Covid, flu and Strep A – means that a dozen health trusts and ambulance services have declared critical incidents in recent days. The College of Paramedics warns of “very many cases” of patients dying while waiting for emergency transport to hospital.

So what should you do if the worst does happen to you, or a family member? If you call 999 and are told the wait could be several hours long? Other, that is, than stressing to the call handler the seriousness of the situation and how urgently you need help?

First, if you are able to get to hospital by car or taxi, then do (though don’t drive yourself if you’re experiencing a health emergency). “You may be sent to the back of the A&E queue, but at least you’re in a place where someone qualified can do an assessment,” says Dr Bharat Pankhania, senior clinical lecturer at the University of Exeter.

If this isn’t possible, here’s some advice for five separate health scenarios:

If someone has a fall, it’s commonly assumed you should not move them while waiting for an ambulance, in case it makes matters worse. In most cases this is wrong, says Dr Pankhania. “It’s really important to be aware that if you can move – move. And if the patient can move with a little bit of assistance, do help them to do so,” he says. It is, he warns, counterproductive to say “if you’ve fallen, now stay there”: this can lead to reduced blood flow in the area you’re lying or sitting on, which in turn can lead to pressure sores, tissue damage or even blood clots.

So do move, or help the patient to do so, to a comfortable position, or into a comfortable chair. “The most common falls result in either hip or wrist fracture, or nothing fractured but everything hurts,” he says. “Lying on the floor won’t help those injuries at all,” The exception is if you fear you, or a loved one, has a spinal cord injury. “There are certain circumstances where you shouldn’t move because the head or neck needs to be stabilised,” says Dr Pankhania, who advises making a common sense assessment of where the trauma is. If it is in a wrist, arm or leg, there’s no reason to remain lying prone and uncomfortable.

If you’re alone and have no-one to drive you to hospital, call a friend, a relative or a neighbour and alert them, advises Dr Pankhania. He recommends leaving your door unlocked, if you can, so that when someone arrives they can reach you easily and won’t need to break in if you are unable to walk to the door.

The British Heart Foundation (BHF) advises that if you think you’re having a heart attack, you should call 999, then sit down and stay calm while waiting for paramedics. The charity also recommends taking a 300mg aspirin if you have one within reach.

A defibrillator can be used when someone is in cardiac arrest. You can check in advance where your nearest one is on the BHF website; otherwise, if you call 999, the operator can tell you if there’s a public access defibrillator nearby. But, says the charity, if you’re on your own with a person in cardiac arrest, cardiopulmonary resuscitation (CPR) should be done first, and you should not interrupt it to go and find a defibrillator. If possible, send someone else to find one.

Keeping calm can help here too. “Often with, for instance, an acute, severe asthma attack, panic sets in,” says Dr Pankhania. “Keeping your composure often stops the release of the chemicals that are causing the bronchial spasm. Therefore, it’s very important to keep calm because if you remain calm, fewer of these nasty chemicals are released and you can keep your bronchial constriction at bay.”

St John Ambulance advises that if someone is having an asthma attack, you reassure them and ask them to take their usual dose of their reliever inhaler. Ask them to breathe slowly and deeply. The patient should also be seated in a comfortable position and should take a puff on the inhaler every 30 to 60 seconds, until they have had 10 puffs. “Monitor their breathing and level of response. If the ambulance hasn’t arrived within 15 minutes, repeat the process with the inhaler,” says the first aid association. “If they become unresponsive at any point, prepare to give CPR.

Signs of a stroke include the patient’s face dropping on one side, being unable to lift both arms and keep them in the air, and slurred or garbled speech. If you suspect you or someone else has suffered a stroke and it’s not possible to get to hospital immediately, Dr Pankhania suggests taking an aspirin in the meantime – as long as you’re not allergic to the drug and it doesn’t cause you extra bleeding.

“A stroke is usually a clot in the brain, he says. “You can take aspirin to stop the blood from further clotting. It’s not going to prevent a clot that’s already happened, but if you’ve taken aspirin it makes the blood less sticky so may stop a clot from getting bigger.”

As with a fall, a suspected broken bone does not necessarily warrant being left in the same position for hours on end. “If, say, your knee joint is at an awkward angle, it’s much better to put it where it normally is than say, ‘I dare not touch this,’ says Dr Pankhania.

If someone has a suspected broken arm, you can fashion a home-made sling out of a towel, he suggests. Or if you’re alone with your broken arm, you can at least support it on a chair, for instance, and make yourself comfortable.

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