There are images with the wrong captions and an index that does not reference the right pages. Really hard to navigate, a lot of useless & unnecessary info. A good third of this book is useless if you work outside the USA, as it's devoted to the US EMS system, legislations & the sorts of tags that rival gangs use.
I'd much sooner recommend the smaller, cheaper, more portable Oxford Hanbook of Emergency Medicine. If you really need a paramedic text, go for Nancy Carolines Emergency Care in the streets.

awesome product. The book flows very well, and I can use it from EMT-E to the Paramedic level. Saves a ton of money that way!

The first book I ordered was lost in transit but Amazon wasted no time in refunding my money. I ordered a replacement because my dad needed it for class right away and got it in a timely manner. Excellent customer service! The book is exactly what he needed and for a reasonable price.

This book appears to be fully updated with the 2005 AHA guidelines throughout. I appreciate the topic organization, pictures, diagrams and skills sections.

I used the competing Brady Paramedic Text about three years ago and was shocked at the huge number of contradicitions and outright errors in it. I am a National Registry medic but I recently read this Text in preparing for a written exam in another state that does not offer reciprocity. Mosby's book is EVER SO MUCH BETTER. It has a consistency that aids the learner rather than causing frustration. It reads like it was written by one person, whereas Brady reads like it wass written by three dozen people who never met each other. The Mosby book is articulate and does a good job of explaining new and complex topics to learners with diverse backgrounds. It has chapters devoted to many of the "new" areas of EMS, such as WMD. It makes the difficult topics manageable. For example, the Cardiac chapter, while long, is well written and builds from a clear foundation and focuses on what medics do in the field rather than what cardiologists do in specialty treatment centers.

If you have any choice in the matter, take a class that uses this text and avoid those that try to make do with the Brady book.