Star Of Life Emt- Ems Charm for Pandora Bracelets, Chamilia, Troll, Biagi and other European Styles Simply slide it on and add a great new addition to your Pandora style bracelet with this one of a kind charm! Charm Measures 1 1/2" tall x 3/4" Wide Packaging: Black Velvet Pouch Made in the United States of America