Here I am, ordering a replacement. Of all the books on health and first aid, this is the one I look to the most often. I live on a remote island and have used this book to judge the severity of injuries and the need for evacuation, or just the need for time. I am not a mountaineer, but my family does manage to get into scrapes....concussions, chainsaw injuries, broken glass and a recent allergic reaction. This last incident is what made me realize that my ancient copy was gone. This book has been better than any other book as far a raising my kids in a proactive way, especially when it comes to emergency room conversations!