It is a book that can be bought to help Lieutenant Markland, a doctor, deal with the children refugees at Bitter Springs during the quest Bitter Springs Infirmary Blues. It is a miscellaneous item, and cannot be used or read.
It can only be bought or stolen from Blake at the Crimson Caravan Company. To steal it, it is located on the bottom shelf to the left of Blake, between two cartons of cigarettes and four bottles of whiskey. It can be purchased at any time but cannot be removed from the player's inventory until given to the Lieutenant.