UNITED STATES OF AMERICA PRESIDENTIAL LIFESAVING MEDAL IN GOLD, 2nd. type, reverse inscribed "To B. West, Seaman of the British Tug Lady Brassey, in recognition of his heroic services in effecting the rescue at sea, on January 31-1919, of the master and crew of the American steamer Piave", with integral gold suspension bar, extremely fine, in contemporary fitted leather case