Print your own copy

We have prepared special PDF files that allow you to print copies of the OB Anesthesia Emergency Manual for your own use at no cost for use at your own local institution. These do not have special crop marks that professional print houses use and will not allow you to have custom tabs.

You may take these files to a local copy shop and ask them to laminate the covers and bind them for you or you may do them yourself. The process for assembling binded books is not complex.

The plastic coil binding can be removed and pages can be replaced or updated at a later date.

Here is a list of supplies you will need:

  • Coil Binding Machine
  • 18 mm Spiral Binding Coil
  • Coil Punch
  • Artificial Paper
  • Laminating Pouches
  • Laminator
  • Brass Grommets
  • Grommet Punch

These supplies can be purchased online at numerous suppliers. Common search terms that can be used include "bindery, binding supplies, synthetic paper".

Work with professional printer

We have created a special version of our manual that has crop marks and printer's marks as well as tab cutting marks for die cutter that will assist a professional printer in manufacturing your manual for you to your specifications.

We have also worked with a local printer in South San Francisco for the past 26 years, Giant Horse Printing. We are a client of Giant Horse Printing, but do not have any financial relationship with the company. Our listing of their name on our website is not an endorsement of their services but rather a way to provide assistance to those wishing to order manuals or printers wishing to manufacture manuals and who may have technical questions for our printer.




Many institutions and simulation centers may wish to know how to order copies of an optimized physical Obstetric Anesthesia Emergency Manual.

The information below is from the printer who produces our manual at Stanford, Giant Horse Printing.


Giant Horse Printing in South San Francisco has produced a printed Obstetric Anesthesia Emergency Manual that meets the specific criteria the Stanford team defined, and has been in use in all Stanford hospitals’ anesthetizing locations, with iterative improvements. There is no financial relationship, and you should contact them with any questions, orders, or requests for samples at:


There is a website they have created that you may find helpful in ordering printed versions of the Obstetric Anesthesia Emergency Manual. Note: New users need to create an account by clicking "Register" on the webpage below the login box. Once you are in the website, click on the "All Products" link at the top right hand corner under the search box. [LINK | Please note this link is being provided as a convenience and for informational purposes only; it does not constitute an endorsement or an approval by the Stanford University School of Medicine of any of the products, services or opinions of the corporation or organization or individual.]


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 covers by having a tactile ability to identify those pages in high pressure, time-sensitive situations.


By using digital print technology, they can customize back cover emergency numbers and information page, hanger/grommet information page.

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. We encourage those interested in specific cost information to contact a local printer or refer to Giant Horse Printing.