The QA Level 4 Certificate in First Response Emergency Care (QCF) qualification is specifically designed for those who want to provide prehospital care to patients requiring emergency treatment.

As the next step for those who have completed the QA Level 3 Certificate in First Response Emergency Care (QCF) or equivalent, this qualification is ideal for those looking to progress their career in the emergency services, ambulance services, event medical sector and high risk workplaces. Successful candidates will gain the knowledge, skills and competencies needed to be able to deal with a wide range of prehospital care emergencies, such as: major incidents, fracture immobilisation, sick and injured children, mental health problems and more.

Fulfilling the competencies set out in the Pre-hospital Emergency Medicine (PHEM) skills framework at descriptor level E, this Ofqual regulated qualification is the ideal foundation for those who are progressing in education to become a registered healthcare professional.

What’s Covered

Initial patient assessment

Physiological measurements

Anatomy and physiology

Heart disease

Electrocardiogram application and monitoring

Managing a patient’s airway – supraglottic airways

Medical gases – including dosages and administration

Thoracic trauma

Mechanisms of injury and kinetics


Full body and limb immobilisation

Sexual assault

Major incidents

Psychosocial development in children

Emergency care for sick and injured children

Mental health problems

Assisting with advanced airway management, vascular access and infusion