A gladiator, renowned for fighting to the death, is shown on a highly polished background in submissive pose as he gives thanks for his survival before an ethereal female figure accepting the gesture. The poignant image is encircled by the words: IN THE LINE OF DUTY.
The dominant element of the reverse is a stylised rendering of the surgeon’s knot, as old as the branch of medicine so long associated with the wounded and injured, encircled by the words: IN THE LINE OF DUTY.
The ribbon comprises a broad central band of rich red bound on either side by narrow bands of blue, representing the arteries and veins of the body. These elements are in turn bound on the outer edges by bands of clinical white, representing the sterile conditions necessary for recovery. The ribbon is attached to the medal by a suspender, comprising oak leaves; symbol of strength and bravery. A poppy on the ribbon distinguishes medals issued posthumously. This medal is supplied on a concealed single pin, ready to wear.