First Response Emergency Care (FREC) Level 4 (Email us for next available course dates)

The FREC Level 4 qualification is the natural progression from FREC Level 3, offering the next step on the vocational route into the medical and pre-hospital care sector.

Course Benefits

• Builds on the skills gained at FREC Level 3

• Provides deeper knowledge and understanding of advanced pre-hospital care

• Widely recognised in the industry as part of the FREC qualification pathway, supporting careers in:

  • Ambulance services

  • Emergency response

  • Event medical cover

  • Security and close protection

Duration: Typically 5 days

Regulated by: Qualsafe Awards (Ofqual regulated)

Course Content

Patient Assessment & Management

• Advanced primary survey and patient assessment

• Airway management (including supraglottic airways & suction)

• Advanced monitoring (ECG, blood pressure, pulse oximetry, capnography awareness)

• Enhanced patient handover

Life Support & Medical Emergencies

• Advanced resuscitation techniques (adult, child, infant)

• Oxygen therapy and ventilation support

• Management of cardiac arrest (including AED and manual defib awareness)

• Recognition and management of medical conditions:

  • Stroke

  • Seizures

  • Anaphylaxis

  • Asthma and other respiratory emergencies

  • Diabetic emergencies

  • Sepsis

Trauma Care

• Catastrophic bleeding management (tourniquets, haemostatic agents)

• Trauma patient assessment (including mechanisms of injury)

• Head, neck, chest, abdominal, and pelvic injuries

• Limb trauma: fractures, dislocations, sprains and strains

• Spinal immobilisation and patient handling

Special Incidents

• Burns and scalds

• Poisoning and overdose

• Environmental emergencies (hypothermia, heat illness)

• Crush injuries

• Major incidents and triage

Professional Practice

• Roles, responsibilities, and scope of practice for a Level 4 responder

• Communication and teamwork in high-pressure environments

• Record keeping and legal considerations