The FREC 4 is the second level in the First Response Emergency Care (FREC) pathway and plays a vital role in preparing pre-hospital care professionals for advanced trauma, emergency management, and clinical decision-making. It is recognised across the UK and internationally in the ambulance, security, and private medical sectors.
This qualification is essential for professionals operating in high-risk environments where advanced assessment and intervention are required before paramedic care becomes available.
FREC 4 is a Level 4 qualification in emergency medical care that provides learners with enhanced clinical skills and knowledge to operate as senior medics.
FREC 4 professionals operate independently or within teams, often acting as the first and most advanced clinical response available at the scene.
FREC 4 qualifies professionals to provide advanced clinical interventions and decision-making in high-pressure emergency situations, bridging the gap between basic first response and paramedic care.
This qualification is essential for those seeking to progress toward paramedic registration or work in advanced emergency care roles.
We aim to provide you with the most affordable and high-quality FREC 4 training in the UK. Our course does not compromise on quality—your training is delivered by experienced medics and clinicians using real-life case-based instruction.
Note: The FREC 4 qualification can be completed in 5 to 10 days depending on provider delivery. You must demonstrate a strong commitment to clinical practice and decision-making under pressure.
If you are already FREC 3 qualified and want to enhance your role in emergency medical care, operate in hostile environments, or progress toward paramedic registration, this is the ideal course for you.
After completing FREC 4, you will be eligible to progress to FREC 5 and Associate Ambulance Practitioner (AAP) roles or apply your qualification to senior medic jobs in the UK and abroad.
Level 4 qualifications in First Response Emergency Care have been developed by awarding bodies to meet the needs of the emergency services sector and align with the Pre-Hospital Emergency Medicine (PHEM) framework. It provides learners with advanced knowledge and competencies in trauma, emergency pharmacology, and scene leadership.
| Unit Title | Level | Credit | GLH |
|---|---|---|---|
| Patient Assessment and Advanced Trauma Management | 4 | 5 | 40 |
| Administration of Emergency Medical Gases and Pharmacology | 4 | 4 | 28 |
| Management of Medical Emergencies in Pre-Hospital Care | 4 | 4 | 25 |
| Recognition and Management of Major Illnesses | 4 | 3 | 15 |
| Application of ECG Monitoring and Clinical Decision Making | 4 | 4 | 10 |
| Leadership in Emergency Care and Clinical Documentation | 4 | 2 | — |
| Total | — | 22 | 118 |
There are no restrictions, but the learner must:
Prerequisite: A valid FREC 3 certificate is mandatory for enrollment in this advanced level qualification.
Although FREC 4 is valid for 3 years, learners are expected to maintain CPD (Continuous Professional Development) and seek refresher training where applicable.
Train with professionals. Qualify with confidence. Respond where lives depend on it.
5-10 day intensive course • Advanced clinical training • 3-year validity
Advanced pre-hospital emergency care training for professionals operating in high-risk environments where critical decisions and advanced interventions save lives.