The United States Silver Lifesaving Medal is a civil and military medal of the United States Coast Guard which was first established by Act of Congress, 20 June 1874. This decoration is one of the oldest medals in the United States Military as it was originally established at the Department of Treasury Lifesaving Medal (when the Coast Guard was part of the Treasury Department) and has remained unchanged in appearance since its initial conception. This is an old medal made from solid silver.