FREC 3 – First Response Emergency Care (Level 3

Duration: 5 Days (35+ Guided Learning Hours)

Accreditation: Qualifying First Response Emergency Care – Level 3
Aligned with: UK Pre-Hospital Emergency Care Framework (RQF/Ofqual)

• Learners must be 17+ years old
   
• Reasonable physical fitness
   
• No prior qualification required

Patient Assessment & Primary Care

• Scene safety and dynamic risk assessment
   
• Patient assessment model (Catastrophic Bleeding → ABCDE)
   
• Vital signs, baseline observations and monitoring
   

Airway & Breathing Management

• Airway adjuncts (OPA/NPA)
   
• Suction and airway clearance
   
• Oxygen therapy (high-flow & controlled)
   
• Assisted ventilation (BVM)
   

First Aid & Trauma Management

• Catastrophic haemorrhage control
   
• Tourniquets & haemostatic dressings
   
• Shock recognition and management
   
• Burns, fractures, sprains, spinal immobilisation
   
• Chest injuries (open, flail chest)
   
• Medical vs trauma differentiations
   

Medical Emergencies

• Stroke, diabetes, asthma, seizures
   
• Cardiac conditions
   
• Anaphylaxis
   
• Sepsis indicators
   

Resuscitation

• Adult CPR & AED
   
• Basic trauma life support (BTLS)
   

Operational Skills

• Patient movement
   
• Triage
   
• Documentation & handover (ATMIST/SBAR)
   
• Incident reporting
   

Learners will:

• Conduct full patient assessments using recognised pre-hospital models
   
• Manage catastrophic bleeding and major trauma confidently
   
• Maintain airway patency using adjuncts and assisted ventilation
   
• Provide high-quality oxygen therapy
   
• Recognise and manage medical emergencies
   
• Perform CPR and safe AED use
   
• Provide structured handovers to paramedic-level responders
   

• Practical skill assessments
   
• Scenario evaluations
   
• Multiple-choice or short-answer test depending on awarding organisation
   

Ideal for:

• Security teams
   
• Close Protection operatives
   
• Event medics
   
• Police / Fire support roles
   
• High-risk workplace responders
   
• Those progressing toward FREC 4 or EMT-level training 

Duration: 5 Days + Portfolio Development

Accreditation: Level 4 First Response Emergency Care
Aligned with: UK Pre-Hospital Emergency Care Framework (RQF/Ofqual)

• Must hold FREC 3 (in date)
   
• Recommended: current workplace/basic first aid competence
   
• Learners must be physically capable of performing advanced trauma skills
   
• Must bring documentation/logbook proving FREC 3 status

Advanced Patient Assessment

• Expanded ABCDE approach
   
• Advanced vital signs interpretation
   
• Secondary assessment and differential diagnosis
   

Airway & Respiratory Management

• Advanced airway care (airway adjuncts, suction, assisted ventilation)
   
• Nebuliser therapy
   
• Respiratory system examination (auscultation included where allowed)
   

Trauma Management

• Advanced catastrophic bleeding control
   
• Shock pathophysiology
   
• Advanced splinting, traction devices
   
• Management of spinal injuries & immobilisation
   
• Crush injuries
   
• Blast injuries
   

Medical Care

• Diabetes, cardiac issues, acute asthma, anaphylaxis
   
• Stroke assessment tools
   
• Seizure management
   
• Administration of lifesaving medications (where legislation allows)
   

Resuscitation & Emergency Response

• CPR, AED & post-ROSC care
   
• Use of BVM and airway adjuncts at advanced level
   
• Team leadership during resuscitation
   

Operational & Clinical Skills

• Major incident management
   
• Triage systems (Sieve/Sort)
   
• Patient movement, extrication & evacuation
   
• Clinical documentation and report writing
   

Learners will:

• Undertake advanced patient assessments and identify deterioration
   
• Manage advanced trauma scenarios
   
• Lead first-response teams in emergencies
   
• Provide enhanced airway management
   
• Deliver structured clinical handovers
   
• Operate safely within pre-hospital care and major incident systems
   

• Practical scenarios
   
• Skills stations
   
• Written knowledge assessment
   
• Completion of clinical portfolio/logbook (cases may be simulated)
   

Intended for:

• High-risk security personnel
   
• CP operatives
   
• Remote medics
   
• Event medics (advanced tier)
   
• Those progressing towards Level 5 or EMT careers
   

• Must hold FREC 3 (in date)
   
• Recommended: current workplace/basic first aid competence
   
• Learners must be physically capable of performing advanced trauma skills
   
• Must bring documentation/logbook proving FREC 3 status