Medical shears are held securely by strap and snap. There is also a 2" wide QUICK-PULL strap along the inside of the pocket to aid in one handed removal of contents of the pouch. Pouch measures 3"x3"x7". MOLLE/PALS webbing on sides for additional modular pouches or the attachment of a Tourniquet via rubber bands. The flap uses either or both a Side Release Buckle and Hook and Loop to secure closed. A silencing strip is sewn in for the Hook and Loop to provide silent operation of the flap. Covered by HSGI's Lifetime Warranty. Made in the USA. MALICE Clips Included. ***MEDICAL ITEMS NOT INCLUDED***