These Bulk Blue & Purple Ribbon Heart Charm Pediatric Stroke Awareness Chunky Bracelets have silver-plated chain bracelets, blue and purple ribbons, and a silver heart charm with the words "Pediatric Stroke Awareness" etched on them. The sterling silver-plated bracelets are about 8 1/2 inches long, and the pendant measures about 3/4 inches by 3/4 inches.