The Blue "Star
Of Life":The Emergency Medical Care Symbol
by Arline Zatz
Just
as 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.
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 deity, 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.
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:
1.
As a means of identification for medical equipment and supplies for
installation and use in the Emergency Medical Care
Vehicle-Ambulance.
2.
To point to the location of qualified medical care services and
access to such facilities.
3.
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.
4.
On EMS personnel items - badges, plaques, buckles, etc.
5.
Books, pamphlets, manuals, reports or other printed material having
direct EMS application.
6.
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
"THE STAR OF LIFE"
Each
of the six "points" of the star represents an aspect of
the EMS System.
They
are:
Detection
Reporting
Response
On
Scene Care
Care
In Transit
Transfer
to Definitive Care
The
staff on the star represents Medicine and Healing.
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