Mosby Paramedic Handbook is the most widely used Textbook for Paramedic students enrolled in state and National Paramedic certification courses. It is the Number 1 textbook and reference manual for all paramedics and EMT's. WIth over 1600 pages of basic and andvanced Peramedic information, It is a great reference tool for all paramedics and EMT's or even anyone who just wants to understand emergency medical care. This book was my textbook during class. I am now retired and have no use for it. I hope someone can get as much out of it as I have. It is in great condition and all pages are intact.