FREC 4 (First Response Emergency Care Level 4) is a  regulated and nationally recognised prehospital care qualification fulfils the competencies set out in Pre-hospital Emergency Medicine (PHEM) skills framework at descriptor level E, and is the perfect next step for those who have completed the QA Level 3 Certificate in First Response Emergency Care (RQF) or equivalent

Like FREC 3, the FREC 4 Qualification is split into two parts:-

A) 35 hours of classroom tutorial and assessments

B) 125 hour of contextual learning and applied practice*

Students have 12months in which to complete the qualification.

All students at Xtreme Emergency Training Ltd will receive full online access to our student resource portal, as well as being assigned a designated support tutor to assist with the post course learning.  *The 125 additional learning hours are in the form of 3 workbooks.

We can also arrange for student placements for event medical cover and private ambulances across Scotland, the North East, the North West and the South West

What You’ll Learn

Building upon what students have learned in FREC 3, FREC 4 includes:-
  • Initial patient assessment
  • Physiological measures
  • Anatomy and physiology
  • Heart disease
  • Electrocardiogram application and monitoring (ECG)
  • Managing a patient’s airway – inc supraglottic airways
  • Medical gases – including dosages and administration
  • Thoracic trauma
  • Mechanism of injury and kinetics
  • Psychosocial development in children
  • Triage
  • Full body and limb immobilisation
  • Management of suspected or actual cases of sexual assault
  • Emergency care for sick and injured children
  • Dealing with a patient displaying signs of mental health problems
  • Assisting with advanced airway management, Intravenous Access (IV) Intraosseous infusion (IO)

Course Assessment

0 Practical Assessments
0Multiple Choice Diagram
0 Post course workbooks

Certificate Award

Externally accredited and certificated by Qualsafe Awards Ltd

Course Dates & Locations

25th – 29th March 2019 – Kirkham, Lancashire – £595
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Suited Professions

  • Emergency Care Assistants
  • Patient Transport Services
  • Community First Responders
  • Event Medical Personnel
  • Mountain Rescue Team Casualty Carers


FREC 3 / CMT1 or approved equivalent*

Upon payment of your deposit, students will be sent the course manual to an address of their choice.  It is imperative that students carry out the directed pre-reading in order to assist them on the course.

*Other qualifications including those obtained outwith the UK may be accepted by the awarding body.  A mapping process and mapping document must be completed and agreed prior to acceptance on the course.

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