Background: Life is characterized by precarious twists and turns and risky conditions that emerge all the time. First aid is the immediate action taken to save a life and reduce the effects of injury and illness until medical help is obtained. This study aims at assessing the knowledge regarding first aid among undergraduate medical students and comparing the knowledge among different terms. Methods: A cross-sectional study was done among 150 undergraduate medical students of Vydehi Medical College, Bangalore. A questionnaire with 15 questions regarding the awareness and skills involved in first aid were used to assess the levels of awareness among undergraduate medical students. Data was entered in Microsoft Excel Sheet. Analysis was done using Statistical Package for Social Sciences version 21. Data was analysed using percentages and Chi-square test. Results: A total of 150 medical students filled the questionnaire, 50 each from 5th (2nd year), 7th (3rd year) and 9th terms (4th year). The overall scores were, 43 out of 150 students had excellent knowledge, 71 out of 150 needed improvement, 35 out of 150 had adequate knowledge and only 1 out of 150 had poor knowledge about First-Aid. The association between terms and level of knowledge was found to be statistically significant. Conclusions: First Aid knowledge among medical students needs improvement. Level of knowledge improved with increasing term but this was not sufficient and more training should be given to all medical students on first aid and basic life support.

Introduction: Intrahepatic cholestasis of pregnancy (ICP), also described as obstetric cholestasis is the second most common cause of icterus in pregnancy. Although not fully understood, proposed theories indicate it could be due to decreased bile flow through the liver and its poor excretion, leading to increased levels of colic and chenodeoxycholic acid. It is known to be associated with adverse maternal and fetal outcomes. Materials and methods: The data were collected by retrospective record review for the past 2 years and the information collected included obstetrical outcomes and complications in mothers with ICP admitted in a tertiary care hospital. Results: Among the 64 pregnant women admitted with ICP, 56.2% of women were booked pregnancies and 47 (73.4%) were in the age groups of 21-30 years. Most women presented with ICP at gestational ages of >37 weeks 51 (79.9%), with the onset of symptom around 33-36 weeks of gestation 21 (32.8%). Common complications encountered were severe preeclampsia and gestational diabetes mellitus 6 (9.3%). Among neonates, meconium-stained liquor (MSL) and low appearance pulse rate grimace activity respiration (APGAR) at 1 minute were common complications. Mothers with ICP were induced with PGE2 (dinoprostone) and 54.7% delivered vaginally. Pregnancies induced with PGE2 and PGE1 (misoprostol) had a higher chance of undergoing lower segment cesarean section (LSCS) 19 (29.6%). Conclusion:Mothers with ICP should be screened antenatally for preeclampsia. The delivery team should be prepared to manage meconium aspiration in the newborn, although most patients deliver vaginally. Key message: Newer modalities of treatment with better pregnancy outcomes in mothers with ICP.