Skip to content

Operational medicine, done right.

FREC Level 4

Prehospital Care

FREC Level 4

  • Advanced
  • 5 days
  • Enquire for dates

Advanced prehospital training for qualified responders working in high-risk, remote or resource-limited environments.

CertificationRegulated Qualsafe Awards qualification, delivered in partnership with Aceso Group. Certificates are issued by the awarding organisation.

About this course

FREC Level 4 is the next rung up from FREC 3 - an RQF Level 4 qualification for responders who already hold Level 3 and work in remote, austere, maritime or high-threat environments where definitive care is hours away rather than minutes.

It extends both clinical scope and expectation: you move from first responder to the senior clinician on scene, making assessment and treatment decisions with limited resources and holding a casualty over a prolonged period before evacuation.

If you do not yet hold FREC 3, start there. If a contract specifies Level 4 cover or you routinely operate where the ambulance is not coming, this is the course.

What you will cover

  • Advanced patient assessment and clinical decision-making
  • Supraglottic airway devices and advanced airway management
  • Prehospital pharmacology and medicines management fundamentals
  • Managing a casualty over a prolonged timeline
  • Working as the on-scene clinical lead
  • Environmental and remote-setting considerations

Who it is for

  • First responders & medics
  • Security & tactical
  • Remote, maritime & adventure

Related courses

In-Hospital Care

Clinical CPD Study Days

  • Intermediate
  • 1 day each

Clinical study days based on the team's caseload, audit findings and identified development needs.

AED 650 Details

Remote Medicine

Expedition & Adventure Medicine

  • Intermediate
  • 3–5 days

Medical planning and care for expeditions, including preparation, field treatment and evacuation decisions.

AED 1,650 Details

Prehospital Care

Close Protection Medic

  • Advanced
  • 5 days

Medical planning, equipment and casualty care for clinicians working within protective security details.

AED 3,200 Details

In-Hospital Care

ECG Technician

  • Intermediate
  • Multi-day programme

Training for ECG technicians covering trace acquisition, quality checks, common procedures and escalation.

AED 2,800 Details

Remote Medicine

Wilderness First Aid

  • Foundation
  • 2 days

Two days of practical emergency care for guides, adventurers and professionals working outdoors.

AED 950 Details

First Aid

Paediatric First Aid

  • Foundation
  • 2 days

Emergency care for infants and children, suitable for parents, nannies and school staff.

AED 500 Details
WhatsApp