Does what it says on the tin -- plug the device into a space on your car's fuse panel, be sure to insert the correct fuse into the device's holder so you have overcurrent protection for the circuit you are testing, and then the meter sits in series with the circuit so you can read current flow. Direct, accurate and foolproof method for measuring current flow on an electrical circuit in a car. Seems accurate enough for my purposes.
There are plenty of scenarios where this is a very useful diagnostic capability. One scenario particularly useful to the average motorist is hunting down vampire loads. Do you have a somewhat older car whose battery drains down after sitting idle for only 4-5 days? Do you replace your car's battery every year or two even though a decent battery should last 5+ years? There is a good chance there is an unexpected vampire load on one of your circuits, drawing down the battery even when the car is off. For example, a faulty switch might keep your trunk light or glove box light on continuously, even when the lid is closed. You'd never even see it. Or a fault in your sound-system amplifier that causes a continuous current draw even when the radio appears off. This tool will help you isolate and diagnose such problems quickly and with certainty.