The Star was created in 1973 by Leo R. Schwartz, Chief of the EMS branch at the NHTSA to avoid legal problems related to the use of derivatives of the RED CROSS (like orange cross, green cross, etc.). The Star of Life was registered as a certification mark on February 1, 1977.
The six branches of the star are symbols of the six main tasks executed by rescuers all through the emergency chain:
- The first rescuers on the scene observe the scene, understand the problem, identify the dangers to themselves and the patient(s), and take appropriate measures to ensure the safety on the scene (circulation, electricity, chemicals, radiations, etc.).
- The first rescuers call for professional help.
- The first rescuers provide first aid and immediate care to the extent of their capabilities.
- The EMS personnel arrive and provide immediate care to the extent of their capabilities.
- The EMS personnel proceed to transfer the patient to a hospital for specialized care. They provide medical care during the transportation.
- Appropriate specialized care is provided at the hospital.


