This beautiful ornament is made in the USA and comes with a ribbon, making it easy to hang on your tree or display on a mantle. The high-quality enamel finish ensures that it will sparkle and shine for years to come, making it a treasured keepsake for any EMT. Not only is this ornament a thoughtful and heartfelt gift, it's also a great way to show your support and appreciation for those who serve in emergency medical services.