This silver Caduceus Charm is a symbol of healing and protection, making it the perfect accessory for EMTs and paramedics. Show your commitment to helping others with this elegant and meaningful charm. * Platinum Plated * Brass * Size: 17.5x15.5x2mm All charms come with 18 gauge 24k gold plated stainless steel jump rings, pre-installed to each charm. Our jewelry is carefully curated to make you feel beautiful and confident. We take pride in utilizing premium components sourced from high-quality materials. For instructions on install charms to necklace or carabiner, please see our video tutorial here.