The Chicago Straitjacket restraint helps control difficult or unpredictable patients. Long-sleeved arms cross in front and secure through a vertical loop at the patient's chest, before being buckled on the back of the straitjacket. A crotch strap prevents the patient from pulling the straitjacket over their head. High quality construction with heavy cotton canvas. Chicago straitjackets are available in small, medium, large, and XL. Each size is color-coded with colored piping around the collar. All sizes run larger than standard sizing. When in doubt, order a size smaller. Machine washable. This is a copy of the discontinued straitjacket previously made by The Posey Company and not a genuine Posey product.