Any medal awarded to the member, ranger tab (if earned), wound stripe, jump wings (including foreign ones, I believe), mentioned-in-dispatches. There's probably some that I missed. Keep in mind that Americans' uniforms are basically their resume - you can venture as to how long they've been in and where they've been by the undress ribbons they wear. There's a lot of medals similar to ours - you get it for deploying. I believe - and I could be mistaken - that a member of the US Army that particiapted in OEF in both Iraq and Afghanistan actually receives three medals: one for taking part in OEF and one for each theatre. Maybe some of those with more experience with the Americans could verify that?