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FREC 4 – First Response Emergency Care Level 4

This course is a next step qualification from FREC 3 and is the equivalent of an Emergency Care Assistant (ECA). This is a Ofqual regulated qualification which is designed for individuals that already have background knowledge into pre-hospital emergency care and want to further develop their knowledge and skills in a variety of pre-hospital care emergencies such as: major incidents, paediatrics, CPR and using immobilisation and extraction equipment to name a few.

NEMC has the most qualified and experienced medical practitioners that deliver the practical elements in a real-life setting to further improve the learner’s experience in competently managing emergencies that could occur while working for the ambulance service or the public sector that requires medical cover. Additionally, this qualification can be used to form a series of pre-hospital care qualifications for the QA Level 6 Diploma in Paramedic Practice (RQF).

FREC 4 – Course Breakdown

Course duration: 5 days 🡪 39 hours min of instructor teaching

Total qualification time: 180 hours

141 hours of self-learning

Price: €850

Group Discounts Available - Enquire:


To qualify within this course, the 3 mandatory components must be completed, and 180 hours of total qualification time will be required, including a minimum of 39 hours of contact learning which are done over a 5-day period. Additionally, it is recommended that the student partakes in 141 hours of self-learning for which they will receive guidance from the instructors. 


Within this course, the students will cover the following subjects:


Unit 1: First Response Emergency Care Assessment Skills and Medical Gases

  • Patient assessment and management

  • Cardiovascular system and relevant diseases

  • ECG application and monitoring

  • Airway management

  • Emergency gases – oxygen


Unit 2: First Response Emergency Care Trauma Life Support

  • Respiratory system – relevant disorders and infections

  • Thoracic trauma

  • Musculoskeletal system

  • Nervous system

  • Mechanisms of injury & kinetics

  • Sexual assault 

  • Major incidents


Unit 3: First Response Emergency Care and Assisting Advanced Procedures

  • Maternity care

  • Sepsis

  • Psychosocial development in children

  • Emergency care for sick & injured children

  • Mental health crisis

  • Assisting with advanced clinical procedures 

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