both are just about the same bandage.....the cinch-tight made in the U.S.A and the emergency bandage made in ISRAEL.....thats about the only real differance thier is....right now i carry the cinch -tight bandage due to the fact that its the only bandage my local medical supply carrys....both types are a vast improvement over the old style "field dressings" issued in the army.......vince g . 11b infantry ( former)