As a student paramedic, we have different lecturers suggesting a variety of text books to us with out core text book being Nancy Caroline's Emergency Care In the Street. Personally I feel that this Sanders book is the most complete text book available for students and paramedics. It is a very comprehensive text which covers everything from ethics to intubation. There are less glossy pictures than Nancy Caroline (but still more than enough) but I feel the content is far superior to anything else on the market.
Would definitely recommend to anyone interested in paramedic practice.