This course is currently not available whilst the programme is being rewritten.


First Person on Scene (Intermediate) certificated by the Royal College of Surgeons. This course was specifically designed for those 90 minutes or more away from assistance.

At ECP, we tailor the FPOS courses to ensure that they are relevant to the environments that your teams are operating in.


The Institute of Health Care Development (IHCD) is the Awarding Body (via Edexcel) for NHS Ambulance Services throughout the United Kingdom.


The Faculty of Pre-Hospital Care at the Royal College of Surgeons Edinburgh clinically endorses the content of this course and maintains standards in pre-hospital medical care for doctors, emergency service personnel and nurses.


Entry Requirements


Ambulance Response

  • 20 - 40 minutes

The Pre-Hospital Environment

  • The role of FPOS
  • Scene safety
  • Minimising risk of infection
  • Post-incident procedures
  • Scene management
  • - Safety - Triage

Patient Assessment

  • Communicating with patients
  • Primary survey and assessment
  • Safe moving and handling

Respiration & Airway Management

  • Recognition of respiratory problems
  • Common breathing difficulties
  • Basic airway management: - Causes of blocked airway & Choking - Opening and maintaining a clear airway
  • Use Of Suction
  • Removal of crash helmets
  • Use of oro-pharyngeal airways
  • Oxygen supplementation
  • Ventilation support
  • Bag/valve/mask

Basic Life Support

  • Perform basic life support
  • Recovery position
  • Perform child and infant basic life support


  • Automated external defibrillation
  • Normal /Abnormal heart rhythms

Circulation & Shock

  • Recognition and initial care of haemorrhage: - Bleeding - Shock (to include faints)

Medical Related Emergencies

  • Recognition and initial care of: - Heart attack/angina - Diabetes - Stroke - Epilepsy - Unconscious patient - Asthma / anaphylaxis
  • Assisting the paramedic

Trauma Related Emergencies (optional)

  • Recognition and initial care of injuries to bones, joints, tendons and ligaments
  • Recognition and initial care of burns & scalds
  • Recognition and initial care of other trauma related injuries
  • Skeletal stabilisation
Level 3 - FPOS I Course Download
FPOS I Download.pdf
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