Description
On a white disc within a 1/8 inch (.32 cm) yellow border 2 3/4 inches (6.99 cm) in diameter overall, a cross throughout maroon, bearing a winged staff, all yellow.

Symbolism
Maroon and white are colors traditionally associated with medical organizations. The winged staff represents the mission of the unit. The yellow border symbolizes the complete and comprehensive support provided by the organization and continuity of service. Yellow or gold signifies excellence.

Background
The shoulder sleeve insignia was originally approved for the 818th Hospital Center on 12 October 1990. It was redesignated for the 818th Medical Brigade with the symbolism revised effective 17 September 1992. (TIOH Dwg. No. A-1-784)