I will not sell individual items or negotiate prices. There are creases and scratches as shown in the photos, but there is no writing. The sticky notes will be removed before shipping. Please refrain from purchasing if you are sensitive to imperfections. A manual containing the latest guidelines on cardiopulmonary resuscitation. - Title: BLS Provider Manual - Publisher: American Heart Association - Language: Japanese - Contents: Guidelines on cardiopulmonary resuscitation - Condition: Slightly used Thank you for viewing.