Advanced Life Support Keystone Patch — Order This Hands and Heart Design
Design S1058A at a glance
A keystone cut edged in tan, centered on hands holding a star of life with a heart. Four lettering lines carry the service name, an established year, an emergency medical services line and a motto, all in a navy, maroon, tan and silver palette that feels warmer than the standard blue-and-white EMS patch.
Keystone shapeTan merrowed borderHands holding star of lifeHeart emblemFour lettering lines4 thread colors
About this advanced life support hands-and-heart keystone design
The keystone is the stone that holds an arch together, which makes it an apt outline for the paramedic level of care. Inside it, hands holding a star of life with a heart put the emphasis on the patient rather than the apparatus. Maroon and tan warm up the navy base, and silver detail lifts the emblem so it doesn't sink into a dark uniform.
Customize it to your service: set your ALS service name in the top line, rewrite the motto, or change maroon to red if your fleet runs red-and-white. This page shows a design concept we manufacture to order — your stitch-ready proof arrives 6–12 hours after you order, and nothing is produced until you approve it.
Advanced life support keystone patch quick facts
- Embroidered ALS keystone patches cost $3.00–$20.00 each depending on quantity, with a 10-patch minimum.
- Rush production takes 7–10 days and is available on every custom patch.
- Keystone outlines take a merrowed edge, which keeps the angled sides even across a full run.
- Earth-tone palettes like navy, maroon, tan and silver stitch well on dark navy or black uniforms.
- Hands-and-heart emblems hold detail at 3.5" tall and larger; smaller chest versions simplify the fingers.
- Owl Badges is a US-based badge and patch manufacturer in Simi Valley, California, in business since 1999.
Customize this ALS keystone patch: backing, size, and thread options
- Backing: sew-on for duty shirts, iron-on for ball caps, hook-side velcro for vests and rescue packs
- Sizes: 2"–12" — 3.5"–4" on shoulders; 8" and up for jacket backs
- Colorways: navy, maroon, tan and silver as shown, or red and white for a classic ambulance look — preview in the markup tool
- Border: tan merrowed (shown), or maroon for a darker frame
- Thread: metallic silver available for the star of life highlights
- Artwork: the hands, heart and star of life redraw to your own emblem at no additional art charge
Who orders this design
Paramedic-level ambulance services, ALS intercept units and hospital-based transport teams order this keystone for crew shirts and station jackets. Services that run both BLS and ALS trucks often order two versions, changing only the service-level line. The earth-tone palette also suits rural services with brown or tan uniforms.
Custom ALS keystone patch pricing — embroidered
| Quantity | Price per patch |
|---|---|
| 10–19 | $20.00 |
| 20–29 | $14.00 |
| 30–49 | $11.00 |
| 50–74 | $6.50 |
| 75–99 | $6.00 |
| 100–249 | $5.50 |
| 250–499 | $3.00 |
Rush production in 7–10 days is available on all custom patches. Design your changes in the markup tool above, or get this patch quoted exactly as shown.
What your quote covers
- Your exact spec — quantity, size, backing, and colorway, priced to the piece
- A free digital mockup within 4 hours, before you commit to anything
- Rush production in 7–10 days whenever you need it
- No setup, digitizing, or art fees — the table price is the whole price
How ordering this patch works
Request a quote
Send this design (marked up or as-is) with your quantity. Quotes are answered 24/7 within 4 hours.
Approve your proof
Your stitch-ready proof arrives 6–12 hours after ordering. Nothing is produced until you approve it.
We verify & produce
Law-enforcement orders are verified with your agency before production — standard practice since 1999.
Delivery confirmed
We confirm your shipping address by phone, then email tracking the day your patches ship.
🏛 Bidding for your department or agency? We answer bids, RFQs and purchase-order quotes — see how agency bids and RFQs work, or tick “This quote is for a bid” in the quote form.
Advanced life support keystone patch questions
Can the top line name our ALS service?
Yes. All four lettering lines restitch to your wording — service name, established year, the EMS line and the motto — and your proof shows them placed.
Can we get a BLS version from the same art?
Yes. Change the service-level wording and order both runs in one quote; the emblem, colors and keystone outline stay identical.
Will the hands detail hold up at small sizes?
At 3.5" and above the fingers and heart stay distinct. Below that we simplify slightly and show the result on your proof.
Can we switch to a red-and-white palette?
Yes. Any thread color can change. Preview a red-and-white or all-navy version in the markup tool before requesting your quote.
How do I send you our changes?
Mark them on the design with the markup tool — circle elements, pin notes, change colors — and the marked-up keystone travels with your quote.
Comparing other EMS designs or patch builds?
This keystone is one take on paramedic-level insignia. The EMS catalog that includes shields and rounds alongside this hands-and-heart keystone shows every outline services order. If you're deciding between embroidered, woven and PVC, or starting from your own artwork, the custom patch overview that prices a maroon-and-tan keystone by quantity sets out materials, minimums and turnaround.
Notes
Drop a 📍 pin on the patch, then type what you want changed there.




