First Response Emergency Care Level 4 (FREC 4)

The Qualsafe Level 4 Certificate in First Response Emergency Care (RQF) builds on FREC 3 and develops learners’ knowledge and practical skills in pre-hospital emergency care. The five-day course covers a wider range of medical and trauma emergencies, with an emphasis on patient assessment, decision-making and working within your scope of practice.

Key learning highlights

• Assess patients, record physiological observations and interpret ECGs.
• Manage airways and use medical gases.
• Respond to medical emergencies, including sepsis, heart disease, respiratory conditions, mental health crises and maternity care.
• Assess and manage trauma, including thoracic injuries, immobilisation and major incidents.
• Triage patients, provide emergency care for sick or injured children, and assist clinicians with interventions.

Assessment includes practical assessments, skills tests, learner workbooks and invigilated exams. Successful learners receive the Qualsafe Level 4 Certificate in First Response Emergency Care (RQF). The qualification aligns with Descriptor Level E of the PHEM Skills Framework and is part of Qualsafe’s progressive pre-hospital care suite.

Learners need to maintain a CPD portfolio and complete annual refresher training covering cardiac arrest and life-threatening illness or injury. This refresher training may include an Intermediate Life Support (ILS) qualification.