
First Response Emergency Care Level Four
FREC4 Qualification
"your next step to providing pre-hospital care"
5 Day Classroom course
Herefordshire
£540.00 + VAT
Course
Overview
Are you ready to take your emergency care skills to the next level? Look no further than the Qualsafe Level 4 Certificate in First Response Emergency Care (FREC4). This nationally recognised qualification is designed for healthcare professionals who provide emergency care in a variety of settings.
With FREC4, you’ll gain the knowledge and clinical practice needed to confidently assess patients using various methods, including physiological measures. You’ll learn how to act on your findings and provide safe, prompt, and effective prehospital care in emergency situations.
This qualification aligns with Skillset E of the Faculty of Prehospital Care RCS Ed Framework, ensuring that you meet the required competencies to deliver high-quality care. Upon completion, you’ll have an intermediate level of prehospital care knowledge, equipping you to handle a range of emergency scenarios.

Course
Syllabus
Step up your emergency care skills with our Level 4 Certificate in First Response Emergency Care. This comprehensive programme covers all the essential subjects you need to become a proficient emergency care provider. From adult, child, and infant cardiopulmonary resuscitation to the management of fractures and thoracic trauma, you’ll gain the knowledge and hands-on experience required to handle critical situations confidently. Learn how to assess patients, recognise electrocardiogram patterns, manage airways, use immobilisation and extrication equipment, and even assist with advanced procedures to support paramedics.
Enroll now and become a trusted first responder in any emergency situation.
Pre Course
Pre-course reading of Ambulance Care Practice is recommended before your FREC 4 and if you already hold a FREC 3 qualification. This will compliment the Ambulance care Essentials book that we recommended to read before your FREC 3 course.
If you are gaining entry to FREC 4 with prior learning and not a FREC 3 qualification, we recommend Ambulance Care Essentials.
These books can be bought on Amazon etc.
5-day (39 hour) course
Completion of 3 assessed workbooks (done after successfully finishing the course at our centre)
Certification
Upon successful completion of the written and practical assessments the following certificates will be awarded:
QA Level 4 Certificate in First Response Emergency Care
Although there is no expiry date, learners are expected to keep a CPD portfolio and attend a Basic Life Support annual update to maintain validity.
Pre-entry criteria
Learners must be 18 years old and should have completed a Level 3 Certificate in First Response Emergency Care or an equivalent recognised qualification. They also need to present a CPD record that include 118 contextualised learning hours. The hours can be additional learning including reading extra resources, work experience, shadowing, mentoring or other appropriate clinical exposure.
FREC® 4 course content
Roles and Responsibilities of
Pre Hospital Care Providers:
Casualty assessment
Airway management
FREC provider role
Universal precautions
Emergency care equipment
Patient/Treatment documentation
Consent
Incident assessment and control:
Dynamic risk assessment
Initial management of the scene
Casualty assessment:
Primary Survey <C>ABC
Levels of consciousness
Secondary Survey
ABCDE approach
Catastrophic Bleeding:
Direct/Indirect Pressure
Trauma dressing
Tourniquet use
Haemostatic agent/dressing
Airway management:
Airway anatomy
Airway management methodologies Dynamic Airway assessment
Head tilt-chin-lift
Jaw thrust
Postural drainage
Altered Airway anatomy management Oro-pharyngeal airway Naso-pharyngeal airway
Manual suction device
Choking
Cardio Pulmonary Resuscitation (CPR):
Adult CPR
Child CPR
Infant CPR
CPR adaptions
Casualty handover
Automated External Defibrillation
When resuscitation should not be attempted
Medical Gases:
Emergency Oxygen
Pocket Mask/Bag Valve Mask
Non-re-breather mask
Trauma:
Universal precautions/Infection control
Medical Shock
External bleeding
Embedded object
Internal bleeding
Minor injuries
Eye injuries
Burns
Poisons
Trauma (Muscular-Skeletal):
Head injuries
Spinal injuries
Helmet removal
Cervical collar
Pelvic immobilisation Fractures
Sprains & Strains Dislocations
Crush injuries
Manual in line stabilisation
Trauma (thoracic):
Closed chest injuries
Open chest injury
Positional asphyxia
Medical conditions:
AnaphylaxisAdrenaline
Auto-injector
AsthmaHyperventilation
Heart Attack
Angina
Stroke
Diabetes
Seizures
Meningitis
Environmental:
Hypothermia
Hyperthermia
Sun stroke
Dehydration
Exhaustion
Food poisoning
Human body:
Hypoxia
Respiratory system
Circulatory system
Learners have a maximum of 12 months to complete the qualification, including any referrals.
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