Modular teaching available. 

Taught by expert paramedic trainers. 

ILS training available. 

First Response Emergency Care (FREC 4)

  • Pre-course reading – 20hrs
  • Face-to-face delivery of days 1 and 2 – 16hrs
  • 1-2 weeks off-course study including completion of Workbook 1 – 40hrs
  • Face-to-face delivery of days 3 and 4 – 16hrs
  • 3-4 weeks off-course study including completion of Workbooks 2 and 3 and revision time in preparation for invigilated exams – 81hrs
  • Face-to-face delivery of day 5 – 8hrs
  • This course retails at £399 per candidate.
  • There are no additional hidden charges. 
  • Discounts are available for repeat customers, charities and large group bookings.
  • Talk to us about booking your course today! 
  • Learners must be at least 18 years old on the first day of the training.
  • Learners must have successfully completed the QA Level 3 Certificate in First Response Emergency Care (RQF) or the Qualsafe First Response Emergency Care (Level 3 RQF) qualification or a QA recognised equivalent and provide continuing professional development (CPD) profile containing evidence of 118hrs study and/or contextualised practice before they can begin the QA Level 4 Certificate in First Response Emergency Care (RQF) qualification.
  • There are no other formal entry requirements but to benefit from the learning we advise that Learners have a minimum of Level 2 in literacy and numeracy or equivalent.

Book today: 


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 or healthcare assistant.

It is also ideal for Individuals working within high-risk, remote or first responder-type roles who are currently FREC 3 qualified but need a medical care qualification that is more advanced. Some examples include: Community First Responders (CFRs), overseas journalists, offshore workers, TV, film and cabin crews, Police and Fire Service, aid workers and expedition leaders. 


  • Initial patient assessment
  • Physiological observations
  • Anatomy and physiology
  • Heart disease
  • Electrocardiogram application and monitoring
  • Managing a patient’s airway – supraglottic
  • Medical gases – including dosages and
  • Thoracic trauma
  • Sepsis
  • Maternity care
  • Respiratory disorders and infections
  • Mechanisms of injury and kinetics
  • Triage
  • Full body and limb immobilisation
  • Sexual assault
  • Major incidents
  • Psychosocial development in children
  • Emergency care for sick and injured children
  • Mental health crisis
  • Assisting the clinician with clinical interventions


Book this course today by emailing