We’re proud to deliver the Level 4 Certificate in First Response Emergency Care (FREC4) – a qualification designed for those who are serious about progressing their career in pre-hospital emergency care. If you’re working towards becoming a more enhanced responder, this course provides the knowledge and clinical skills required to operate with increased responsibility.

You’re not just another learner. We keep our groups small and our instruction personal. Our friendly, experienced trainers are professionals from clinical and frontline emergency backgrounds who bring a practical, down-to-earth approach to teaching. We combine professionalism with a relaxed and supportive environment that helps you learn and grow with confidence.

Before undertaking the FREC 4 course, learners must have completed the Level 3 First Response Emergency Care (FREC3) course as this is the essential building block of the FREC pathway.

During FREC 3, you’ll have covered:

• Scene assessment

• Basic airway management

• CPR and AED use

• Trauma care

• Emergency care for medical conditions such as strokes, seizures, asthma, and cardiac events

• Administration of emergency oxygen

• Basic safeguarding and patient communication skills

These fundamental skills lay the groundwork in order to further your medical knowledge

This qualification develops and extends your ability to provide pre-hospital care in a variety of settings, including high-risk environments, remote areas, urgent and emergency care roles. Key components include:

• Airway management using supraglottic devices

• Recognition and management of maternal illness and complications

• Recognition and management of paediatric illness

• Trauma management

• Assisting the clinician

• ECG monitoring and basic interpretation

• Mental health awareness in pre-hospital care

• Working effectively in multi-agency emergency situations

• Clinical decision-making and documentation best practices

Course Details

• Duration: Typically 5–6 days (plus pre-course study and post-course portfolio completion)

• Entry Requirements: Valid FREC 3 Qualification

• Assessment: Practical assessments, written tests, and a learner portfolio

• Accreditation: Regulated by Qualsafe Awards and part of the FREC qualification framework

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Who Should Take FREC4?

This course is suited for:

• Event medical staff looking to further their knowledge

• Security personnel or close protection operatives requiring enhanced medical skills

• Emergency response teams operating in remote or high-risk areas

• Those working toward Ambulance Technician roles

You can find the full course specification here: L4_FREC_RQF-qual-spec-3.pdf