Level 4 Certificate in
First Response Emergency Care (FREC)
5 Day Course
Certificate valid indefinitely
Clinically endorsed by the Faculty of Pre-hospital Care –
The Royal College of Surgeons of Edinburgh
PHEM Framework: Descriptor Level D
Course Body Title
The QA Level 4 Certificate in First Response Emergency Care (RQF) is a regulated and nationally recognised prehospital care qualification specifically designed for those looking to progress their career within the NHS or private ambulance services as an
emergency care assistant, intermediate ambulance practitioner, event medical provider, associate practitioner or healthcare assistant. It is also ideal for those who are looking to work within specialist roles in the military, police and fire services.
As the next step for those who have completed the QA Level 3 Certificate in First Response Emergency Care (RQF), this qualification provides learners with a wider scope of practice in prehospital care emergencies, allowing for greater employment
opportunities. It also forms part of a progressive suite of prehospital care qualifications that lead to the QA Level 6 Diploma in Paramedic Practice (RQF).
Fulfilling the competencies set out in the PHEM skills framework at descriptor level E, this fantastic qualification provides learners with the knowledge, skills and competencies needed to be able to deal with a wide range of prehospital care emergencies, such as: major incidents, fracture immobilisation, sick and injured children, mental health crisis and more.
You must hold a FREC 3 qualification to be eligible to attend this course. Proof will need to be supplied of your FREC 3 certificate.
Initial patient assessment
Anatomy and physiology
Electrocardiogram application and monitoring
Managing a patient’s airway – supraglottic
Medical gases – including dosages and
Respiratory disorders and infections
Mechanisms of injury and kinetics
Full body and limb immobilisation
Psychosocial development in children
Emergency care for sick and injured children
Mental health crisis
Assisting the clinician with clinical interventions