Qualsafe Awards · Prehospital care
FREC 4
The Level 4 Certificate: patient assessment and management, emergency trauma care, focused emergency and urgent care, and ECG recognition.
The Qualsafe Level 4 Certificate in First Response Emergency Care is the step up from FREC 3, and a much longer qualification — three components delivered over a substantially larger total qualification time, assessed by workbooks, skills tests, practical assessments and two invigilated exams. One of those exams is ECG recognition, which is why rhythm recognition gets a topic of its own here. The level 4 content revisits assessment, trauma and medical care at a depth FREC 3 does not: the same patient, examined more closely.
The 4 topics
Each topic has a free study guide covering what it examines. 2 of them also has a free quiz on this site.
Patient Assessment
Assessment, triage and vital signs at level 4, the structure and conduction of the heart, coronary artery disease, and supraglottic airways and medical gases.
Emergency Trauma Care
Respiratory, musculoskeletal and nervous system anatomy, thoracic trauma and the systematic survey, and two exceptional incident types: sexual assault and major incidents.
Focused and Urgent Care
Paediatric development and the sick or injured child, adult medical conditions including mental health, respiratory illness and sepsis, plus childbirth and assisting a clinician.
ECG Recognition
Sinus rhythms, atrial and supraventricular rhythms, ventricular rhythms and ectopy, conduction abnormalities, and arrest and ACS patterns.
How this level is examined in the app
The app treats each level as its own qualification. Its 40-question, 60-minute mock test draws only on this level's own 202 questions — a mock that mixed in another one while you are revising this would tell you nothing useful.
The other levels
All in the same app — one purchase covers all 2.
Revise anywhere, with the whole FREC 3 & 4 bank
This site publishes the app's free sample — 80 of 585 questions, across 4 of 8 topics. FREC 3 & 4 Exam Prep carries the full bank offline across all 2 levels, so you can revise on the bus, between patients, or the night before.
- All 585 questions
- Every question across all 2 levels, including the 4 topics this site cannot unlock.
- 40-question mock test
- Timed at 60 minutes, drawn from one level at a time.
- An explanation every time
- Every answer explains itself and cites where it comes from, right or wrong.
- Progress you can see
- History and per-topic results show which levels still need the work.
For iPhone, iPad and Android.
