"Emergency Medical Technician" is written on this key chain in bold. In the center is the Star of Life. The key chain is enhanced with red and blue enamel. On the back are the words "To the EMT who provides a valuable service as a part of the pre-hospital care system." Key chain is 1-3/4" x 1-1/2". Since these key rings are fully metal they stand up the rigorous day to day use and will keep looking great for years to come.