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by Arline Zatz
Just as a pharmacists have 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.
We see the "Star of Life" constantly, whether it be on
ambulances or uniforms. But, how many realize what this symbol
represents and how it was born? Not too many, judging from the
random survey I conducted after having realized I had no idea
myself.
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 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 the
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 clock, 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: "Moses accordingly made a bronze serpent and mounted it
on a pole and whenever anyone who had been bitten by a serpent
looked at the bronze serpent, he recovered.
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:
1.) States and Federal agencies
which have emergency medical services involvement are authorized
to permit use of the "Star of Life" symbol summarized as
follows.
2.) As a means of identification
for medical equipment and supplies for installation and use in
the Emergency Medical Care Vehicle-Ambulance.
3.) To point to the location of
qualified medical care services and access to such facilities.
4.) 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.
5.) On EMS personnel items -
badges, plaques, buckles, etc.
6.) 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:
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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. |
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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
THE STAR OF LIFE
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 Care
The staff on the star represents Medicine and Healing.
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