Safer Anaesthesia From Education (SAFE)
Safer Anaesthesia From Education (SAFE) is a joint project developed in 2007 by the Association of Anaesthetists of Great Britain & Ireland (AAGBI) and the WFSA. The training initiative aims to bring practitioners of obstetric and paediatric anaesthesia (who throughout the world may be physician anaesthesiologists but are largely non-physicians) to a level of practice whereby they can deliver vigilant, competent, and safe anaesthesia. The underlying principle is to equip anaesthetists with the essential knowledge and skills so they can deliver safe care to their patients, even in very low resource settings, and to train as many anaesthesia providers as possible in each country in order to create a sustainable training model which can be embedded in the national health system.
SAFE courses are also run by Mercy Ships, CASIEF, national societies and by various other international teams of Doctors.
The SAFE Paediatric Anaesthesia course is a three-day course which aims to provide refresher training in the essentials of paediatric anaesthesia which emphasises the principles of safe care for children, in particular, assessment, vigilance and competence in essential skills.
The course was written by paediatric anaesthetists with relevant experience, and includes sessions on anaesthesia for common elective and emergency conditions in children, pain management, fluid resuscitation, newborn and paediatric life support and paediatric trauma management. Each course participant receives a detailed course manual and logbook to take away and continue to use as a reference.
SAFE Obs is a three-day training course aimed at both physician and non-physician anaesthetic providers in LMICs. The course addresses the core and extended roles of the anaesthetist in obstetric emergencies, with clinical scenarios based on the conditions causing 80% of maternal deaths: haemorrhage, sepsis, eclampsia, obstructed labour, the complications of abortion and complications of anaesthesia and also covers early newborn care including resuscitation. As with the Paediatrics course, each participant receives a detailed course manual and logbook to take away and continue to use as a reference.
We have recently run courses in Uganda, Malawi, Zambia, Kenya, and Ethiopia with support from the Tropical Health Education Trust (THET) in coordination with the AAGBI. We are working with Masimo to hold SAFE training's in Telangana State, India as well as working with Assist International to run SAFE Obs courses in Ethiopia. Additionally, we are providing ongoing SAFE Obs training in Tanzania, Zambia, Nepal, and Bangladesh with support from the Laerdal Foundation.
SAFE courses in obstetrics and paediatrics have now been delivered in 28 countries with excellent results. For more information about individual courses, please click here to visit the AAGBI's SAFE page. For further information on how to attend a SAFE training of trainers in order to teach on a course internationally, please consult the AAGBI page for upcoming training courses.
If you are trained and are keen to run a SAFE course and would like further information on available resources and support, please get in touch with Aaliya Ahmed at firstname.lastname@example.org.