Level 4 First Response Emergency Care (FREC4) (RQF)

This 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 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. 

Course content:

Initial patient assessment
Physiological observations
Anatomy and physiology
Heart disease
Electrocardiogram application and monitoring
Managing a patient’s airway – supraglottic airways
Medical gases – including dosages and administration
Thoracic trauma
Maternity care

Length: 39 hours over 5 days  plus 141 hours of self directed study

Validity: Current ILS certificate alongside maintaining a CPD Portfolio


Respiratory disorders and infections

Mechanisms of injury and kinetics


Full body and limb immobilisation

Sexual assault

Major incidents

Psychosocial development in children

Emergency care for sick and injured children

Mental health crisis

Assisting the clinician with clinical interventions

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