You may print the cost-free downloadable PDF anywhere you want for local use.


However, many institutions and simulation centers have asked Stanford Anesthesia Cognitive Aid Program how to order copies of an optimized physical Emergency Manual.  We are not financially connected, but we have collaborated with their specialists for almost a decade to optimize the overall design, paper, bindery, and general usability.  After many requests we provide below detailed information from the printer we use or feel free to print your own copy anywhere.

You can order online at or call or email them directly for specific orders or requests.

Our printer previously produced a “Step Tab” version specifically for Stanford and until Version 4 had produced only the “Economy” version commercially for other institutions. Given our simulations and clinical feedback showing far superior usability of the “Step Tab” version to find events more rapidly during crises, and the bulk process needed to produce this version, we asked them to pre-produce ‘Step Tab’ versions for broad deployment to all interested institutions.

Comparing both, you can see that the ‘Step Tab’ version is more expensive and we think the price difference is well worth it for the improved usability.


Step Tab Manual
Step-Tab Manual

The specific criteria are:

  • Durability and ability to resist damage due to liquid exposure
  • Wipeability
  • Low flammability
  • The manual must be able to be hung from a hook +/- tethered to a chain to ensure proper storage and a radius of flexible usage.
  • Ability to quickly find events by having a tactile mechanism to identify those pages in high pressure, time-sensitive situations.
If you send your local phone list as a portrait oriented pdf, they can  print it for you on the back cover.

Their printed manuals use a durable plastic coil binding, along with a laminated hanging strip with an (MRI-compliant) brass grommet for easy hanging. For future updates or page additions, these coil bindings can be removed and replaced by any local printer (eg FedEx), often less than $5, or they can be rebound by hand in-house with readily available plastic coils and a coil crimping tool.

By using a combination of front and back cover laminated pages along with state-of-the-art synthetic paper, they have achieved a balance of usability based on the above criteria, while making it cost-effective for widespread deployment.


Step-Tab and Economy sizes are 8.5″ x 11″ Emergency Manuals to hang in Operating Rooms and Procedural Areas.
Note: Pricing list below is per book – Shipping and Tax Not included.

QTY Per Book Per Book Per Book
1 – 4 $119.95 $89.95 $24.95
5 – 9 $109.95 $89.95 $18.95
10 – 49 $99.95 $79.95 $14.95
50 – 99 $99.95 $69.95 $12.95
100 -199 $94.95 $64.95 $11.95
200 + $84.95 $59.95 $10.95

Ordering Contact Information

If you’d like to add your institution’s phone list or customize an institutional order, please contact Alpha Graphics San Francisco or 415-781-4910.  Please note that AlphaGraphics is a nationwide network of print centers but this Emergency Manual is only available specifically from AlphaGraphics San Francisco.

For non-customized orders, you may find it easiest to order directly online via the button above.

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