First Response Emergency Care Level 4 (FREC 4)

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 of health care 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 the QA Level 3 Certificate in First Response Emergency Care (RQF), this qualification provides learners with a wider scope of practice n 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 competences set out in the PHEM skills framework at descriptor level E, this fantastic qualification providers learners with the knowledge and skills needed to be able to respond to a wide range or prehospital care emergencies, such as; major incidents, fracture immobilization, sick and injured children, mental health crisis and more.

Delivered by Caduceus Training and Operations Ltd

Course Length

5 days.


Multiple choice exam and Practical Assessment.


Successful candidates will receive a First Response Emergency Care Level 4 (FREC 4) Certificate Valid for 3 Years

First Response Emergency Care Level 4 (FREC 4)

Course Contents

The Pre-Hospital Environment

  • 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
  • Sepsis
  • Maternity care
  • Respiratory disorders and infections
  • Mechanisms of injury and kinetics
  • Triage
  • Full body and limb immobilization
  • Sexual assault
  • Major incidents
  • Psychosocial development in children
  • Emergency care for sick and injured children
  • Mental health crisis
  • Assisting the clinician with clinical interventions

Basic Life Support

  • Perform basic Life Support
  • Recovery Position
  • Perform Child and Infant Basic Life Support


    • Normal/abnormal Heart Rhythms
    • Automated External Defibrillation

Recognition and Initial Care of Haemorrhage

  • Bleeding
  • Shock (including faints)

Medical Related Emergencies

  • Recognition and Initial Care of:
    • Heart Attack/Angina
    • Diabetes
    • Stroke
    • Epilepsy
    • Unconscious Patient
    • Asthma/Anaphylaxis
  • Assisting a Paramedic

Trauma Related Emergencies

  • Recognition and Initial Care of Injuries to Bones, Joints, Tendons and Ligaments
  • Recognition and Initial Care of Burns and Scalds
  • Recognition and Initial Care of Other Trauma Related Injuries
  • Skeletal Stabilisation

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