The QA Level 4 Certificate in First Response Emergency
Care (RQF) is a regulated and nationally recognised
prehospital care qualification specifically designed for
those looking to progress their career within the NHS or
private ambulance services as an emergency care assistant,
intermediate ambulance practitioner, event medical
provider, associate practitioner or healthcare assistant.
It is also ideal for those who are looking to work within specialist
roles in the military, police and fire services.
As the next step for those who have completed the
QA Level 3 Certificate in First Response Emergency Care
(RQF), this qualification provides learners with a wider
scope of practice in prehospital care emergencies, allowing
for greater employment opportunities. It also forms part of
a progressive suite of prehospital care qualifications that
lead to the QA Level 6 Diploma in Paramedic Practice (RQF).
Fulfilling the competencies set out in the PHEM skills
framework at descriptor level E, this fantastic qualification
providers learners with the knowledge and skills needed
to be able to respond to a wide range of prehospital
care emergencies, such as: major incidents, fracture
immobilisation, sick and injured children, mental health
crisis and more.
What’s covered in this course
Initial patient assessment
Anatomy and physiology
Electrocardiogram application and monitoring
Managing a patient’s airway – supraglottic
Medical gases – including dosages and
Respiratory disorders and infections
Mechanisms of injury and kinetics
Full body and limb immobilisation
Psychosocial development in children
Emergency care for sick and injured children
Mental health crisis
Assisting the clinician with clinical interventions
This qualification contains 1 mandatory unit (split into 3 components) with a Total Qualification Time (TQT)
of 180 hours. Full details of these components are in Appendix 1.
Learners must complete all assessments successfully within the registration period to achieve the
qualification. The maximum period to achieve this qualification, including any referrals is 12 months.
TQT is the total number of hours required for a Learner to achieve this qualification. It has 2 elements:
• Guided Learning Hours (GLH) is the time a Learner is being taught and assessed under the immediate
guidance of a Trainer/Assessor, which for this qualification is 39 GLH (minimum), and
• The number of hours a Learner will reasonably be likely to spend in preparation and study, including
assessment, as directed by, but not under the immediate guidance or supervision of a Trainer,
e.g. pre-course reading, research, assignment completion, mentored practice/work experience,
etc. which for this qualification is 141 hours
If you are interested in attending this course please give us a call on 02892 603307 or email us at