Paperback.  Book is in Very good condition.  Only drawback is that it is a bit warped from how it sat on the shelf.  Insides are pristine.

Note that this is the 1993 version.  Newer versions of these standards, as well as new standards may exist now.  (The current year volume sells for over $400.)

Topical index includes the following sections

Anesthetic and Respiratory Equipment
Emergency Medical Services
Medical and Surgical Materials and Devices (by far the largest section)
Search and Rescue
Thermometers
Metric Practice