Ambulance First Reponders (AFRs) are also known in NHS Ambulance Trusts as Emergency Care Assistants (ECAs). They are a member of a front-line emergency ambulance crew and closely work alongside their EMT and Paramedic collegues. They have successfully completed the IHCD First Person On Scene (FPOS) Intermediate course. This enables extra skills to be utilised above that of the CFR. Our AFRs are more than capable of dealing with emergencies.