This Elastic sleeve keeps the ETQ Wide compressed and prevents the hook and loop material from catching on or fraying clothing when deploying from a pocket. Additionally, the Snakeskin may be slid over belts or slings and used as an ETQ holder. The plus includes a carabiner loop allowing you to carry one on keys, bags and harnesses. The loop acts like a pull tab when you&';re trying to quickly access your tourniquet. *Please Note: if you are a MedicBox member you may receive this item during your membership. If purchasing this product, you may receive duplicates.