When your patient must be restrained for their own safety, this heavy duty PU leather jacket provides inescapable restraint. Fully adjustable straps fasten securely to metal D-rings. The jacket features a strap that passes between the legs and attaches to the back, making escape impossible. This jacket has long arms that fit both male and female patients. Measurements: SMALL/MEDIUM: Arms (does not include area that narrows to a point) are approx. 28 inches in length; Jacket Length (from collar to bottom of garment) is approx. 22.5 inches Chest Width (around the body): 42 inches Shoulder Width (from top of armpit to other armpit): 16.5" LARGE/XLARGE: Arms (does not include area that narrows to a point) are approx. 30 inches in length; Jacket Length (from collar to bottom of garment) is approx. 26.5 inches Chest Width (around the body): 50 inches Shoulder Width (from top of armpit to other armpit): 17.5 inches