The Star Army
Main Article: Star Army of Yamatai
Main Article: Star Army of Yamatai
The Star Army Medical Administration (SAMA), also referred to as Star Army Medical, is an organization within the Star Army of Yamatai responsible for the development of medical knowledge, tools, techniques, and treatments for the soldiers of the Star Army and other life-forms in Star Army care.
The symbol of SAMA is a Caduceus on a teal diamond inside of a larger red diamond shape. The red diamond shape has thin white borders on its internal and external edges. In the red diamond's visible space is the text “STAR ARMY MEDICAL”
The Star Army Medical Administration was created in YE 42, during the Kuvexian War, at the direction of Taisho Ketsurui Yui. Prior to this, Star Army medical personnel (medics and doctors, who served among fellow Star Army soldiers since the YE 22) existed at the occupational level but not as an organization like Star Army Intelligence. Before SAMA was created, most medical guidance came directly from the Star Army Academy of Military & Medical Sciences at Tania, Planet Yamatai.
The Star Army Medical Administration (SAMA) is concerned with both the initial training of medical personnel as well as following up from time to time with continued education. The SAMA Board of Administrators helps conduct tests for certification, continues work to advance medical techniques, develops technology for use in both in the medical bay and the field, and acts as an overseeing body for the medical community within the Star Army of Yamatai.
SAMA trainers are embedded in Star Army Training Administration cadre to oversee the training of any new medics that enter the military. Because the position of a medic in the military is often very demanding, they require a demanding training path as well. The courses and training of the Star Army Medical ensure that a they are capable of performing under stress and pressure, and are competent and capable of standing side by side with other occupations in the field during battle and away missions.
Much of the training is done in Virtual environments such as Virtual Reality rooms, or through the use of VCE beds to help simulate scenarios where they are needed to help without having to endanger any fellow military members. The use of medical beds with holographic simulations are also used as the classes advance throughout the course.
For the first few weeks, a heavy focus is placed on life saving techniques that can be used to stabilize people in the field such as CPR, the use of AES, the use of tourniquets and stopping blood loss. The focus of these weeks is to help acclimate the medics to understanding how to best save their fellow crew members in the field should the worst happen and they are too far from the ship to use the medbay.
After the basic techniques are learned, they move on to situational training. Both in and out of various power armors, with different tools at their disposal, and different wounds. The second part of the course work has a heavier focus on the different types of injuries and complications that can arise from various weapons used against their crewmembers to understand how to best treat the injured. This section of the initial course work takes the longest as it is the most comprehensive part.
The final part of the course is mostly based around acting as a counselor for crew members and people they are assigned to work with. With the heavy toll of the wars and the constant stress placed upon military members, and with the rising number of personnel with Post-traumatic Stress Disorder and other stress-related conditions, SAMA decided to prioritize mental health services. While not complete in training, it at least gives the medical personnel a chance to start learning and be somewhat competent in helping anyone that is in distress.
All graduates of the program will roughly have the equivalent medical knowledge to a general practitioner, while continued education will help with learning more skills. If a graduate of the program isn't immediately needed to occupy a slot among a ship's crew, they can attend a residency in local military hospitals as assistants to the doctors, or stand in for when they are busy. Many medics take this to gain knowledge, especially when taking their skills to star bases or major hub planets where the fighting is closer.
Star Army Medical personnel of officer rank can request to attend more courses with SAMA, either on location at a hospital where courses are offered, or through tests and courses offered through Virtual reality decks and VCE bed if the members are ship based.
These courses go far more in depth with a heavier emphasis on actual surgeries, advanced life saving techniques, and much more involved medical knowledge. It also places more focus on the mental health side to help grow the doctor as a counselor and psychiatrist for the ship or base they are stationed on. Upon completion of this course, they will be acknowledged as a full fledged doctor within the YSA.
Dedicated teams of Star Army Emergency Services personnel consist of Firefighters, SAR specialists and also of the Paramedics. They are easy to recognize by their neon green, high-visibility uniform panels. Paramedic personnel provide Medical Evacuations (MEDEVAC) Services. They work in teams of two, are trained to operate the Kuma T8 Medevac Shuttle and tend to patients in transit. Paramedics provide on-site medical services: their task is to triage and stabilize injured personnel by providing advanced medical and trauma care and get the patient ready for transport.
While Star Army Emergency Services needs are more diverse than just medical personnel, enough so to be their own command, SAMA provides the standards to which their personnel are trained in rescue and emergency medicine. Their own personnel are embedded as training cadre in Star Army Emergency Services classes, just as they are for Star Army Medical.
Mental Health consist of therapeutic, preventative, psychiatric, psychological, and some neurological aspects and treatments. There are two distinct paths of practice. One is a traditional mental health outlook compatible with many forms of sentient life. The other has custom-tailored solutions to NH-series life by way of editing the contents of their digital minds. The latter, due to the technological secrets behind the NH-series, is more tightly regulated.
While privacy is very important and strictly enforced to avoid any form of stigmatism or hesitance to use these services, it should be noted that the Army's needs are also important. As such, a commanding officer must be informed when a crew member is revealed as being potentially unfit to perform their duties along with recommendations. For situations where such treatment reveals important information as part of therapy, this information is to be conveyed to the appropriate entities in the manner most protective to the patient. In cases where classified information is known or likely to be discussed as part of therapy, SAMA maintains a pool of doctors with proper security clearances. Collaboration with Star Army Intelligence exists, but is kept rather quiet and carefully exercised on an as-needed basis.
Treatments and visits are notable in that they can be done in person with a doctor on a ship, in a hospital or clinic, or even via the VCE over appropriate encryption and communications channels. Due to this, any soldier or veteran in Yamataian space should be able to receive mental aid. It is also not uncommon for this measure to be extended to refugees. While records are kept and maintained, this is for medical and readiness reasons only. The contents of these sessions are private unless there is concern over the readiness of the patient for duty or in the case of a clear need for intelligence purposes.
It is possible for those still in training with SAMA to handle VCE sessions, but these are elective on the part of the patient and are also monitored by credentialed personnel who are prepared to step in as-needed.
Due to the technical secrets of the NH-series digital mind and the need to keep such details firmly within the hands of trusted entities, some aspects of mental care related to the direct editing or adjustment of a digital mind or Soul Transfer data are far more tightly regulated. Such measures must be handled by SAMA doctors directly in face-to-face appointments with the appropriate equipment such as the Type 30 Mental Transfer and Backup Unit and the Type 32 Remote Backup Unit.