EMS EMT Paramedic Star of Life Caduceus European Charm Bead Fits Pandora Bracelets Emergency Medical Services European Charm Bead by Pugster Charms Compatible with Pandora, Biagi, Kays, Chamilia, Troll all European Style Bracelets Finely sculptured style with engraved design on both sides of charm Nice quality durable polished silver finish is tarnish free. Measures 3/8 in. Ships with gift box 24 hrs.