FREC 4 Course Overview
The Level 4 Certificate in First Response Emergency Care (RQF), often referred to as the FREC 4 course, is a nationally recognised qualification for individuals looking to develop advanced skills in prehospital emergency care.
This course is designed for those working in, or planning to work in, emergency medical environments such as ambulance services, event medical teams, and healthcare support roles.
Who Is This Course For?
The Level 4 Certificate in First Response Emergency Care is particularly suitable for individuals progressing within the pre-hospital care sector or seeking roles that require advanced first-response skills.
Typical roles that benefit from this qualification include:
- Emergency Care Assistants (ECA)
- Associate Ambulance Practitioners
- Event Medical Providers
- Healthcare Assistants
- Private Ambulance Service staff
The course is also relevant for professionals working within military, police, and fire and rescue services, where medical response skills are required.
Develop Advanced Prehospital Care Skills
The FREC 4 course builds on the knowledge gained during the Level 3 qualification and introduces more advanced aspects of prehospital emergency care.
Learners will develop a deeper understanding of patient assessment, trauma management, and responding to medical emergencies in prehospital environments.
The course follows the PHEM (Prehospital Emergency Medicine) skills framework at descriptor level E, helping learners build the practical knowledge needed for roles within ambulance services, event medical teams, and other emergency response settings.
What You Will Learn
Throughout the Level 4 Certificate in First Response Emergency Care (RQF), learners will explore a range of advanced topics designed to support effective patient care in prehospital environments.
Key areas covered include:
- Conducting an initial patient assessment
- Monitoring and recording physiological observations
- Administration of medical gases, including dosages and safe use
- Managing major incidents and understanding triage principles
- Anatomy and physiology relevant to emergency care
- Thoracic trauma management
- Recognition and management of sepsis
- Heart disease and cardiac-related emergencies
- Respiratory infections and breathing disorders
- Electrocardiogram (ECG) application and monitoring
- Managing a patient’s airway, including supraglottic airways
- Full body and limb immobilisation techniques
- Mechanisms of injury and trauma assessment
- Assisting clinicians with clinical interventions
- Emergency care for sick and injured children
- Psychosocial development considerations in paediatric patients
- Responding to mental health crises
- Maternity-related emergencies
- Responding appropriately to cases of sexual assault
Select Your Course
| Date | Location | Price | Length | Expiration | |
|---|---|---|---|---|---|
| 24/08/26 - 28/08/26 | Norfolk | £500.00 per learner | 39 hour course (minimum) + 141 hours of self-directed study | Certificate remains valid by maintaining CPD portfolio and ILS certification | Book |
| 03/08/26 - 07/08/26 | Milton Keynes | £500.00 per learner | 39 hour course (minimum) + 141 hours of self-directed study | Certificate remains valid by maintaining CPD portfolio and ILS certification | Book |
| 05/09/26 - 06/09/26 19/09/26 20/09/26 03/10/26 | Milton Keynes | £500.00 per learner | (Modulated) 39 hour course Spread out over weekends + 141 hours of self-directed study. | Certificate remains valid by maintaining CPD portfolio and ILS certification | Book |
| 14/09/26 - 18/09/26 | Plymouth | £500.00 per learner | 39 hour course (minimum) + 141 hours of self-directed study | Certificate remains valid by maintaining CPD portfolio and ILS certification | Book |
| 28/09/26 - 02/10/26 | Milton Keynes | £500.00 per learner | 39 hour course (minimum) + 141 hours of self-directed study | Certificate remains valid by maintaining CPD portfolio and ILS certification | Book |
| 05/10/26 - 09/10/26 | Norfolk | £500.00 per learner | 39 hour course (minimum) + 141 hours of self-directed study | Certificate remains valid by maintaining CPD portfolio and ILS certification | Book |
| 09/11/26 - 13/11/26 | Milton Keynes | £500.00 per learner | 39 hour course (minimum) + 141 hours of self-directed study | Certificate remains valid by maintaining CPD portfolio and ILS certification | Book |
| 09/11/26 - 13/11/26 | Plymouth | £500.00 per learner | 39 hour course (minimum) + 141 hours of self-directed study | Certificate remains valid by maintaining CPD portfolio and ILS certification | Book |
Book Your Training Today
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Key Information
Length:
39 hour course (minimum) + 141 hours of self-directed study
Expiration:
Certificate remains valid by maintaining CPD portfolio and ILS certification
Entry Requirements:
Must hold a valid, in-date FREC 3 certificate
PHEM Framework:
Descriptor Level E
Price range: £250.00 through £500.00 +VAT
Frequently Asked Questions
