This course is currently only available to group bookings of a minimum of 6 candidates.

The First Person on Scene - Intermediate (FPOS-I) is a 5 Day program focusing on additional interventions and management of serious incidents with the expectation of longer term management of the casualty at the scene.  It is expected that candidates will have previously attended some First Aid training.  

The course is a mix of taught theory, practical demonstration, skill stations and realistic scenarios.

Below is a guide as to what could be covered, however, where possible we aim to tailor the content, delivery style and contextual setting to your needs, be they as an Expedition leader in remote areas, industrial settings or for those working in hostile environments.

Further Reading:  Medic Courses - a word of warning

The First Person on Scene - Intermediate course covers:

The Pre Hospital Environment

  • The role of FPOS
  • Minimising risk of infection
  • Post-incident procedures

Scene management

  • Safety
  • Triage
  • Mechanism of Injury
  • Patient Assessment
  • Communicating with patients
  • Primary survey and assessment
  • Safe moving and handling

Respiration and Airway Management

  • Recognition of respiratory problems
  • Basic airway management - Oral, Nasal and Laryngeal Airways
  • Choking
  • Use of suction
  • Oxygen Administrat ion- Delivery systems, Capnography and SpO2

Basic Life Support

  • Cardio Pulmonary Resuscitation - to current UK guidelines


  • Automated external defibrillation
  • Normal  / abnormal heart rhythms

Circulation and Shock

  • Recognition and initial care of haemorrhage
  • Bleeding- including the use of tourniquets and haemostatics
  • Shock


  • General Bone / Joint injuries
  • Head injuries
  • Spinal & Pelvic injuries 
  • Chest injuries
  • Burns
  • Eye Injuries


  • Heat Stroke & Dehydration
  • Hypothermia

Medical Related Emergencies

  • Heart attack/angina
  • Diabetes
  • Stroke
  • Epilepsy
  • Asthma - including additional remote protocols
  • Anaphylaxis - including additional re mote protocols

Why 5 Days?

We set our standards on the best possible, not the bare minimum; Edexcel's guidance is that the course should comprise of a minimum of 30 hours delivery time plus allow 2 hours assessment for each candidate.

If there is are 6 candidates on the course, that's 42 hours to give the course minimum justice.

Many providers run the FPOS-I over 4 days, some will run the course over 3 days even with 'additional content', and for as little as £250.00 per person.  You get what you pay for.

We run this course over 5 Days; the additional time ensures that you have time with 'hands on kit'.   First Aid is a practical skill.  You can sit through a presentation but it is time engaged in practical activities which consolidates the learning.

A 5 day course also allows for a full day of practical scenarios - not lectures but realistic casualty simulation in challenging situations.

If you just want a certificate, there are more than enough course providers.   If you want to learn and perfect your skills and leave with increased competence and confidence, lets talk.


Certification is issued jointly between the Institute of Health Care Development (part of Edexcel) and The Royal College of Surgeons of Edinburgh Faculty of Pre-Hospital Care.

IHCD provides Awarding Body services for the Ambulance Service Association.  The awards are the training standard for those employed by NHS Ambulance Services, and are operated throughout the United Kingdom.

Edexcel is the UK's largest awarding body to offer a range of both general and specialist qualifications, for UK and international markets.

The role of the Faculty of Pre-Hospital Care (Royal College of Surgeons of Edinburgh) is to maintain standards in pre-hospital medical care for doctors, emergency service personnel and nurses, and to provide training in association with BASICS through its Diploma in Immediate Medical Care, Pre-Hospital Emergency Care Certificate, and Fire Instructor's Care Certificate.


Training can be delivered here in Pembrokeshire or at your venue.   Because of the practical nature of the course it is ideally delivered with access to the normal or anticipated working environment of the candidates, be that a petrochemical plant, maritime environment or any other high-risk or remote environment.

Private Courses for Discrete Groups

Click here to find our current prices and group discounts, or get in touch to find out more.