Beginner
1/2 - 4 Days Depending on Requirements

First Response Emergency Care (FREC 3 & 4)

Delivered by experienced instructors with real-world medical and rescue backgrounds, the courses combine intensive hands-on training with essential theory, ensuring learners develop the competence, confidence, and composure to manage medical emergencies safely and effectively.

Our First Response Emergency Care (FREC) courses provide advanced, regulated pre-hospital emergency care training for those operating in high-risk, remote, or frontline environments. Aligned with the Health and Safety Executive (HSE) and accredited by Qualsafe Awards, the FREC 3 and FREC 4 programmes form part of the recognised pathway for professional first responders, event medics, security operatives, and those working towards careers in the emergency services.

  • First aiders requiring an advanced pre-hospital qualification
  • Security, event, and close protection operatives
  • Fire and rescue personnel
  • Sports and outdoor activity instructors
  • Industrial or remote workers where emergency medical response may be required
  • Those progressing towards FREC Level 5 / Paramedic routes

Qualification Level: Ofqual-regulated (RQF Level 3)

Course Content:

  • Roles and responsibilities of a first responder
  • Scene safety and dynamic risk assessment
  • Patient assessment and triage
  • Airway management and oxygen therapy
  • Basic and advanced life support (CPR and AED use)
  • Management of catastrophic bleeding (including tourniquets and haemostatic agents)
  • Trauma management — fractures, burns, head and spinal injuries
  • Medical emergencies — cardiac arrest, stroke, diabetes, asthma, anaphylaxis, and seizures
  • Shock, poisoning, and environmental emergencies
  • Communication and handover to emergency medical services

Qualification Level: Ofqual-regulated (RQF Level 4)

Entry Requirement: Learners must hold a valid FREC Level 3 qualification

Course Content:

  • Advanced patient assessment and clinical decision-making
  • Airway management using adjuncts and suction
  • Intermediate life support and advanced CPR techniques
  • Managing serious trauma and multi-casualty incidents
  • Pain management and medication administration (in line with scope)
  • Medical emergencies — cardiac, respiratory, and neurological conditions
  • Managing paediatric and obstetric emergencies
  • Extrication and immobilisation techniques
  • Advanced scene management and casualty handover
  • Legal, ethical, and professional considerations in pre-hospital care
  • Continuous practical assessment throughout the course
  • Scenario-based demonstrations and written assessments
  • Successful candidates receive an Ofqual-accredited FREC certificate, valid for 3 years
  • Meets recognised standards for professional first responders and security operatives

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Learning Outcomes

By the end of the refresher, participants will: