The upside: very good book for 1st level medical responders. Excellent illustrations, good references, important stuff is bolded and notes are in the margins. Decent glossary.
Downside: it was obvious from Day 1 that our instructor was more interested in creating "assistants" for himself and the other platform paramedics than he was interested in teaching true emergency medicine. That was OK by the other 5 guys in the class who were mostly there to "punch their ticket" and get 40 hrs on the clock, but I was looking for something more. We did lots of lecture, verbal scenarios, what-ifs, etc. But hands-on was lacking. We did pulse monitoring, BPs, tourniquets, and palpating. No pressure bandages, no backboards, no cervical collars.
I think I pissed off our instructor when I offered to have a local pal bring a pig in and shoot it with a .22 so we could bandage a sucking chest wound........

I think what I'm gonna do is once I have my state EMR card in hand, I'll trot down to my nearby fire station and sit down with the paramedics. The station is always asking for volunteers, and since I am now a state certified EMR in addition to being a marine fire fighter, maybe I can ride along for some real hands-on training.