This is a brand new Sixth Edition of EVA'S ENPC. No writing in book, no page tears or folds of pages. I'd be happy to send a few pics of the pages to show. Here is some information about this edition: "The ENPC Sixth Edition refers to the latest version of the Emergency Nursing Pediatric Course, a standardized training program designed to equip nurses with the necessary knowledge and skills to effectively manage pediatric emergencies in an emergency department setting; key features include a patient-presentation based approach, new chapters on "The Child with a Rash" and "The Child with Special Health Care Needs", a reintroduced trauma chapter titled "The Child with an Injury", and a focus on recognizing normal and abnormal findings with appropriate interventions, all provided by the Emergency Nurses Association. Key points about ENPC Sixth Edition: Focus on patient presentations: The course emphasizes recognizing various pediatric patient presentations and applying appropriate interventions based on those findings.   Expanded content: New chapters cover topics like dermatological emergencies, human trafficking, food allergies, and special healthcare needs.   Trauma reintroduction: The "The Child with an Injury" chapter specifically addresses pediatric trauma management.   Resuscitation scenarios: The course incorporates resuscitation scenarios to reinforce critical pediatric life support skills.