I am at the very end of my paramedic class and I am doing quite well both in the field (my rotations are over), and in the classroom.This book has very little to do with actually being a paramedic. There is so much useless garbage in here that if you took the time to learn it, you are missing out on other valuable information.This text book might be good for a family docotor who needs to review things like looking in someones ear or checking for swollen lymphs, but if your doing that in the field, your wasting your time and the time of your patient.I would say that a lot of text revolves around things we dont see in the field, but sadly people do call 911 for EVERYTHING. That doesnt mean you should be treating it though, we are emergency care, not difinitive care.