New Red Heart “I Learned CPR Hands On Hearts” soft foam Stress Ball Reliever that was made by the DC FEMS - Fire and Emergency Medical Service Department (that’s Washington, DC). It measures about 3 inches long. Please see all the pictures for more details. The white spots on the pictures are just reflections of light! It’s in perfect condition! This comes from our smoke-free, pet-free home. Thanks for looking!