The PRESTAN manikin is realistic to the eye and the touch. The manikin features a clamshell design that accommodates an easy-to-insert face shield/lung bag (Not Included).The PRESTAN manikin is able to simulate the face/head tilt that mimics the way an actual victim's head would move. The built-in mechanism provides feedback for correct force & correct depth.  All PRESTAN products are latex-free.