Level 4 First Response Emergency Care (FREC)


The QA Level 4 Certificate in First Response Emergency Care (QCF) fulfils the competencies set out in Pre-hospital Emergency Medicine (PHEM) skills framework at descriptor level E, and is the perfect next step for those who have completed the QA Level 3 Certificate in First Response Emergency Care (QCF) or equivalent.

Candidates must have successfully completed the QA Level 3 Certificate in First Response Emergency Care (QCF) qualification or a recognised equivalent before they can begin the QA Level 4 Certificate in First Response Emergency Care (QCF) qualification.

Course Syllabus

The syllabus goes one step further than the Level 3 and includes:

  • Initial patient assessment - Primary survey and history taking
  • Physiological measures - including blood glucose levels, blood pressure, oxygen saturations, capilary refill and temperature
  • Anatomy and physiology - the musculoskeletal and nervous system
  • Heart disease and its impact
  • Electrocardiogram application and monitoring
  • Managing a patient’s airway – using supraglottic airways
  • Medical gases – including administration of entonox
  • Thoracic trauma
  • Mechanism of injury and kinetics
  • Triage
  • Full body and limb immobilisation
  • Management of suspected or actual cases of sexual assault
  • Psychosocial development in children
  • Emergency care for sick and injured children
  • Dealing with a patient displaying signs of mental health problems
  • Assisting with advanced airway management (intubation), vascular access (including cannulation, IO) and infusion

Course FAQ's

Who is this course aimed at?

The QA Level 4 Certificate in First Response Emergency Care (QCF) qualification is specifically designed for those who want to provide prehospital care to patients requiring emergency treatment. It is ideal for those who are looking to progress their career in the emergency services, ambulance services, event medical sectors and high risk workplaces.

What is the Price of the Course?


What is the duration of the course ?

5 Days

Course delivery

Course Delivery:

Delivered over 5 days via a mixture of lectures and scenarios, our focus is on the practical skills needed to save lives, culminating in practical assessments and completion of 3 unit assessment workbooks.

Valid For

Valid for

  • 3 Years
  • What should I do when it expires?
  • Canditates must attend a 3-day requalification course before their certificate expires.

Upcoming course dates.

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  • Covered everything in depth at a good learning pace. Course was great. I had envisaged a day of power points but I couldn't have been more wrong. Fantastic practical day which sharpened my skills

    Chris Kitchin, Blackpool Airport
  • Very knowledgeable and helpful training style. Relaxed but professional atmosphere throughout and nothing too much trouble

    Danny Porter, Vector Aerospace
  • Loved the course. It has given me so much more confidence to carry out my role. I can't wait to share this knowledge with the rest of my watch. 10/10

    André Le Geyt, Jersey Airport
  • I feel that I have learnt a lot from the course and enjoyed the material. Feel much more confident if I am ever in an emergency situation.

    Carl Corby, Hughes Sub Surface Engineering
  • "I have really enjoyed the course. 10/10"

    Ashley Davids, Director of Clinical Services at BMI Healthcare
  • "Excellent course. Well presented and very thought provoking"

    Steven Maher, Senior ODP at Liverpool Women's Hospital

Companies we've worked with

  • Essex Fire
  • Luton
  • Serco
  • Manchester Airport
  • Herts Fire
  • Jersey Fire
  • Bam
  • Londoncityairport
  • BAE
  • BP
  • Nhs
  • Heathrow
  • Durham Fire
  • Urenco
  • Fire
  • HFR Sol
  • Hia
  • Leeds Airport
  • Tyne Fire
  • Nuffield
  • Vector
  • Spire
  • Chemring
  • BMI Healthcare
  • Bournmouth Airport
  • Ctia
  • Siemens
  • Centrica
  • Sussex Fire
  • Airport Fire

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