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The Story and History of the
"Star of Life"
Just as a pharmacists has the mortar and pestle and doctors have the caduceus,
Emergency Medical Technicians have a symbol, its use is encouraged both by the
American Medical Association and the Advisory Council within the Department of
Health, Education and Welfare. The symbol applies to all emergency medical
goods and services which are funded under the DOT/EMS program.

Designed by Leo R. Schwartz, Chief of the EMS Branch, National Highway Traffic
Safety Administration (NHTSA), the "Star of Life" was created after the American
National Red Cross complained in 1973 that they objected to the common use of
an Omaha orange cross on a square background of reflectorized white which
clearly imitated the Red Cross symbol. NHTSA investigated and felt the complaint
was justified.

The newly designed, six barred cross, was adapted from the Medical Identification
Symbol of the American Medical Association and was registered as a certification
mark on February 1, 1977 with the Commissioner of Patents and Trade-marks in
the name of the National Highway Traffic Safety and Administration. The
trademark will remain in effect for twenty years from this date.

Each of the bars of the blue "Star of Life" represents the six system function of the
EMS, as illustrated below: The capitol letter "R" enclosed in the circle on the right
represents the fact that the symbol is a "registered" certification.

The snake and staff in the center of the symbol portray the staff Asclepius who,
according to Greek mythology, was the son of Apollo (god of light, truth and
prophecy). Supposedly Asclepius learned the art of healing from the centaur
Cheron; but Zeus - king of the gods, was fearful that because of Asclepius
knowledge, all men might be rendered immortal. Rather than have this occur, Zeus
slew Asclepius with a thunderbolt. Later, Asclepius was worshipped as a god and
people slept in his temples, as it was rumored that he effected cures of prescribed
remedies to the sick during their dreams.

Asclepius was usually shown in a standing position, dressed in a long cloak,
holding a staff with a serpent coiled around it. The staff has since come to
represent medicine's only symbol. In the Caduceus, used by physicians and the
Military Medical Corp., the staff is winged and has two serpents intertwined. Even
though this does not hold any medical relevance in origin, it represents the magic
wand of the Greek diety, Hermes, messenger of the gods.






The Bible, in Numbers 21:9, makes reference to a serpent on a staff: "And Moses
made a bronze serpent and set it on the standard; and it came about, that if a
serpent bit any man, when he looked to the bronze serpent, he lived. (NAS)

Who may use the "Star of Life" symbol? NHTSA has exclusive rights to monitor its
use throughout the United States. Its use on emergency medical vehicles certifies
that such vehicles meet the U.S. Department of Transportation standards and
certify that the emergency medical care personnel who use it have been trained to
meet these standards. Its use on road maps and highway signs indicates the
location or access to qualified emergency care services. No other use of the
symbol is allowed, except as listed below:

States and Federal agencies which have emergency medical services
involvement are authorized to permit use of the "Star of Life" symbol summarized
as follows:

- As a means of identification for medical equipment and supplies for installation
and use in the Emergency Medical Care Vehicle-Ambulance.

- To point to the location of qualified medical care services and access to such
facilities.

- For use on shoulder patches worn only by personnel who have satisfactorily
completed DOT training courses or approved equivalents, and for persons who by
title and function administer, directly supervise, or participate in all or part of
National, State, or community EMS programs.

- On EMS personnel items - badges, plaques, buckles, etc.
Books, pamphlets, manuals, reports or other printed material having direct EMS
application.

- The "Star of Life" symbol may be worn by administrative personnel, project
directors and staff, councils and advisory groups. If shoulder patches are worn,
they should be plain blue "Star of Life" on a white square or round background.
The function, identifying letters or words should be printed on bars and attached
across the bottom separately. The edges of the basic patch and functional bars
are to be embroidered.
Special function identification and physical characteristics must be adhered to
when applying the "Star of Life" to personal items, as follows:

a) Administrative and dispatcher personnel must use a silver colored edge, and
the staff of Asclepius should be with a silver colored serpent. These items do not
need a white background.

b) The shoulder patches and other EMS patches may be displayed on uniform
pockets and the symbol can also be placed on collars and headgear.

This article was taken from Rescue-EMS Magazine, July-August 1992
TRANSFER TO
DEFINITIVE CARE
REPORTING
CARE IN TRANSIT
RESPONSE
ON SCENE CARE
Each of the six "points" of the star represents an aspect of the EMS System.

They are:

1) Detection
2) Reporting
3) Response
4) On Scene Care
5) Care In Transit
          6) Transfer to Definitive Car

The staff on the star represents Medicine and Healing.
DETECTION