This is a bound, black and white copy of the new (version 2018.3 version) State of Rhode Island Emergency Medical Services Protocols. This book is essential for all paramedics, EMTs (both EMT-Bs and AEMT-Cs) licensed by the State of Rhode Island. R.I. Statewide EMS Protocols is also a great manual for anyone in the field of emergency medicine including first responders. There is a free, downloadable, PDF copy of this document on the State of Rhode Island, Department of Health website. The original document on the State of RI website is 330 pages and includes several blank pages separating sections. This bound copy is a version without those white, blank pages making this a lighter, thinner and more portable version.