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                            Level 3 First Person on Scene                                 Certificate (RQF)


The BTEC Level 3 Certificate for the First Person on Scene is for those who are normally employed as, or looking to apply for jobs as, a first responder in a primary care role or acting as a first responder as part of a secondary role in an industry such as a Bodyguard, Security Officer, Door Supervisor, Community First responders etc. which requires first responders to have a greater breadth of knowledge and skill than that provided by every day First Aid at Work courses.


The learning outcomes for the new Level 3 Certificate are taken directly from the Faculty of Pre-hospital Care PHEM Skills Framework and continue to be endorsed by the Faculty of Pre-hospital Care of the Royal College of Surgeons Edinburgh.

To achieve this qualification will require a greater investment of your time and resources, typically 37 hours and demonstrating that you have:

Developed significant knowledge related to the pre-hospital care industry, including how your role fits into the wider sector as well as the responsibilities of the first responder, established practices relating to the safeguarding of children and vulnerable adults, as well as the prevention and control of infection.

Developed significant technical knowledge that underpins the role, duties and responsibilities of the first responder. This covers areas such as the management of scene safety, the clinical care and management of the casualty, the provision of effective clinical handovers to the next echelon of care, as well as the post incident procedures for which the first responder is responsible

Developed significant practical skills of safe incident management and managing the care of causalities while awaiting the arrival of definitive pre-hospital care

Developed significant knowledge and skills to be able to make critical decisions and medically manage the safe extrication of casualties.

Developed significantly your own personal growth and engagement in learning how to help those ill or injured.


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Course Content


This qualification is designed for those of us working on the front line where such knowledge and skills are crucial especially in the Private Security Industry in light of the ever-increasing acts of terrorism and criminal behaviour we are expected to deal with.  The course provides you "the first responder" with a greater level of clinical knowledge and capability to provide immediate emergency care to anyone who needs it especially at the most critical time while waiting for the next echelon of medical care to take over.



No less than 5 days including 7 hours practical assessment in class that is instructor led following a minimum total of 37 hours of of pre-course learning at your own pace covering the course outline detailed below. (Anything less is just not enough and you could be required to do more!)


Course outline
  • Unit 1: Emergency Care of Casualties for the First Responder

  • Unit 2: Recognising and Managing Trauma for the First Responder

  • Unit 3: Recognising and Managing Medical Conditions for the First Responder

"the golden hour"


In emergency medicine, the golden hour (also known as golden time) refers to a time period lasting for one hour following traumatic injury being sustained by a casualty or medical emergency, during which there is the highest likelihood that prompt medical treatment will prevent death.


It is well established that a patient's chances of survival are greatest if they receive effective care within a short period of time after a critical  event.

COURSE FEES are variable and depend on numbers per cohort and country in which the training takes place.



As we are registered as a "Not for Profit" organisation and with Education & Training being the core of our business, all course fees are exempt of VAT (value added tax)

Course coverage


Understanding how to manage casualties with life-threatening injuries or illnesses is vital for all care providers from first aiders to registered healthcare professionals. The primary objective of this course is to enable you to quickly identify the risk posed to life and inform your decision making in terms of the casualty’s management needs so that you can act swiftly and confidently to maintain life in the critical moments before the arrival of definitive pre-hospital care.

The first thing you will learn is about the first responder’s scope of practice and what responsibilities you have when carrying out emergency care, including how to manage the scene and those in attendance at the incident to keep yourself, bystanders, and casualties safe from a variety of potential hazards and risks.

You will explore the processes and procedures that the first responder is responsible for following the management of the casualty. You will also learn about the principles of assessing casualties as the first responder, including how and why assessment is applied in a hierarchical nature in order to guide your decision making, and about the key principles of providing basic life support to adults, children, infants and special casualties such as pregnant women and neck breathers.

You will also learn about the techniques used to clear, open, maintain and manage the airway of casualties with a reduced level of consciousness as well as 

how to recognise and manage situations where certain factors may preclude the provision of life support. You will explore the provision of supplementary oxygen, including the correct dosage and methods of delivery for a range of casualties.

You will develop your understanding of how to recognise casualties suffering from catastrophic haemorrhages and how to manage these using tourniquets. Finally, you will explore how to manage choking casualties as a result of both mild and severe obstructions.

During the course you will develop your knowledge and understanding in a theoretical context and you will also, in a simulated environment, practically explore the principles and techniques used by the first responder to assess casualties and provide initial emergency care. This will enable you to develop specific skills and also empower you with ability to competently manage incidents involving a wide range of casualties who require primary and continuing assessment, basic life support and other aspects of emergency care.


Casualties that the first responder is likely to encounter include those who have suffered traumatic injuries. From casualties who have fallen from a height to those suffering from burns, the first responder needs to be able to assess, recognise and manage the casualty suffering a traumatic injury or illness effectively before handing over to definitive pre-hospital care providers.

During this course you will learn how to recognise and manage the trauma casualty who may have suffered thermal injuries, exposure, drowning, musculoskeletal injuries, head injuries, spinal injuries, or chest injuries. You will learn how to recognise and manage a casualty suffering with hypovolaemic shock, the different types of bleeding and how to manage these casualties.

You will also develop an understanding of how to apply correct manual handling techniques to prevent injury to yourself and the casualty, as well as how to package your casualty appropriately ready for transfer.

You will not only develop your knowledge and understanding in a theoretical context but also, in simulated environments, where you will practically explore the principles and techniques used by the first responder to recognise and manage casualties with trauma-related injuries or conditions. This will begin to prepare you for the real world in which your ability to manage incidents involving casualties requiring trauma care competently will be crucial.

Survival rates of casualties suffering from common medical conditions are greatly increased by early recognition, early intervention, and early transport to definitive care. As a first responder you will play a key role in managing the casualty in the early stages of pre-hospital emergency care in order to preserve life, prevent further deterioration and promote the casualty’s recovery.

You will learn how to recognise the vital signs and symptoms of casualties suffering from poisoning, allergic reactions, and anaphylaxis, breathing difficulties, cardiac conditions, diabetic emergencies, seizures, stroke, meningitis, and other potentially life-threatening medical conditions.

You will learn how to, within your scope of practice, provide clinical management to casualties presenting with these conditions, how to handle and position the casualty to ensure they are comfortable and safe from further risk, as well as how to observe and record information required for the clinical handover to the next echelon of care. 

You will also develop your knowledge and understanding in a theoretical context along with the principles and associated techniques used by the first responder to recognise and manage casualties with common medical conditions.

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