The EMT Staff of Life Medallion Bracelet. Jewelry made from pristine Pewter and zinc. Stones that shimmer are Austrian crystal. Lead, nickel and cadmium free. Bracelet and the Staff of Life charm are sterling plated and protected from tarnish. Lovely Austrian crystals. Bracelet has a Lobster Claw clasp. Assembled in the USA. Bracelet measures approximately 7 inches and the Maltese cross measuring approximately 1 inch X 1 inch. A beautiful gift! Comes with gift box.