As a Nurse Practitioner working in several settings, I have found this text to be extremely practical, user friendly, and a Definite "buy" for a new or experienced ED practitioner. I like both the "what to do's" as well as the "what NOT to do's." I practice in a very large Emergency Dept, and my book is one of the most dogeared, well read, reached for references on the shelf. I also use it in my college health practice, and several of my colleagues have purchased personal copies as well after seeing mine. I find it puzzling when it appears available as a used book...because I can't readily imagine someone returning it after purchase. ONLY complaint/suggestion, is the index doesn't use common language (e.g. "Bee sting" isn't listed, but instead appears as "hymenoptera envenomization."