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A paramedic in red uniform gives CPR to an injured man lying on the road, surrounded by medical equipment and a first aid kit. The man appears unconscious, with visible wounds on his arms and face. A car tyre is seen in the background.

FREC 4 - Qualsafe Level 4 Award

First Response Emergency Care (RQF)

A paramedic in red uniform gives CPR to an injured man lying on the road, surrounded by medical equipment and a first aid kit. The man appears unconscious, with visible wounds on his arms and face. A car tyre is seen in the background.

Take the Next Step in Your

Pre-Hospital Care Journey

 

ABOUT FREC 4

 

FREC 4 is a regulated Level 4 Pre-Hospital Care Qualification designed for individuals who have already developed a foundation in First Response Emergency Care and are looking to advance their knowledge, practical skills and clinical confidence.

Delivered over five days at the APLUS Medical Services & Training facility in Bolsover, Chesterfield, the course combines theory, practical skills and realistic scenario-based training. The qualification builds on the skills developed through FREC 3, introducing a broader range of medical and traumatic emergencies, alongside more advanced patient assessment, clinical decision-making and patient management skills.

It is particularly suited to individuals looking to progress within the Pre-Hospital Care sector, including those working towards roles in Ambulance Services, Event Medical Provision, Emergency Response, and other healthcare environments.

What You'll Learn

PATIENT ASSESSMENT & CLINICAL PRACTICE

  • Advancing your patient assessment skills
  • Physiological observations
  • Recognition of patient deterioration
  • Assisting the clinician in clinical interventions

AIRWAY, BREATHING & CIRULATION

  • Advanced airway management
  • Physiological observations
  • Recognition of patient deterioration
  • Assisting the clinician in clinical interventions

TRAUMA & IMMOBILISATION

  • Trauma assessment and management
  • Thoracic trauma
  • Fracture and limb immobilisation
  • Mechanisms of injury and kinetics

MEDICAL EMERGENCIES

  • Cardiovascular emergencies
  • ECG application and assessment
  • Recognition and management of Sepsis
  • Acute and chronic medical conditions

PAEDIATRIC, MATERNITY & VULNERABLE PATIENTS

  • Assessment and management of sick and injured children
  • Paediatric emergencies
  • Maternity emergencies
  • Mental Health and psychosocial considerations
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MAJOR INCIDENTS & COMPLEX EMERGENCIES

  • Major Incident Management
  • Triage using the TST tool
  • Multi-agency working
  • Safeguarding and vulnerable patients

Course Information

Duration:  4 Days

Maximum Learners: 6 per course

Assessment Process:

  • 3 Practical Assessments / Skills Tests
  •  

Certification

Qualsafe Certificate

- E-Certificate issued following successful completion and submission of results

3-Year Validity

- Qualification valid for 3 years from the date of achievement

Keeping Your Skills Current

- Annual BLS training and ongoing CPD recommended

 

A gloved person bandages a patient’s arm on a trolley. Text reads: “APLS Medical Services & Training. FREC® 4 First Response Emergency Care Qualsafe Level 4 Certificate.” Additional text highlights course recognition and standards. Navy and gold design.
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