Designed and recommended for immobilization only. Items included are: Two head support pillows with ear openings; Two removable straps with center pads, for head positioning; One base pad; One removable pad (to accommodate smaller heads); Self adhesive hook and loop, or tape for positioning base pad near head of board; and two straps to secure the base pad to the board. For replacement foam pads order JSA-363-R. (2 pads per pack)