Hia 1 form 2025

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  1. Click ‘Get Form’ to open the HIA 1 form in our editor.
  2. Begin by entering the player's name, competition, and date of the assessment. Ensure that the date format is D D /MM/ Y Y Y Y.
  3. Fill in the kick-off time and team details, followed by the time of the suspected event (0-20 mins, 21-40 mins, etc.).
  4. Indicate who completed the HIA (team medic or doctor) and whether a temporary substitution was requested.
  5. Answer all questions in the HIA TOOL section carefully. Mark responses as 'Correct', 'Incorrect', or 'N/A' based on your observations.
  6. Proceed to complete the Maddocks Questions for orientation and immediate memory tests. Record scores accurately.
  7. Evaluate balance and symptom checklist responses. Document any clinical signs observed during assessment.
  8. Finally, confirm if the player was removed from the game due to HIA results or other injuries and provide any additional notes required.

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As explained by the NRL Physio, Category 1 symptoms include a player losing consciousness, showing balance disturbance, suffering impact seizures or taking no protective actions when falling.
A health impact assessment (HIA) is a process that examines the potential health effects of a plan, project, policy, or program. You should conduct an HIA before the plan, project, policy, or program is built or started.
The HIA process requires a normal HIA3 and clinical assessment at 36-48 hours to completely exclude a concussion.
A grade 1 concussion is also called a minor concussion. People who experience a grade 1 concussion often feel slightly dazed but dont lose consciousness. Common symptoms of a grade 1 concussion include: Headache.
A HIA is a Head Injury Assessment. This is undertaken by the clubs medical team if there is any indication that a player may have suffered a concussion. A player is removed from the field of play for a short period of time, usually 10 minutes, to complete a series of tests to see if he is concussed.
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The signs and symptoms of concussion reported within 1 to 7 days post injury (see Table 3-3) typically fall into four categoriesphysical (somatic), cognitive, emotional (affective), and sleepand patients will experience one or more symptoms from one or more categories.
The HIA protocol allows for a diagnosis of concussion to be made immediately (Criteria 1) following a head impact event but a diagnosis cannot be excluded following a head impact event until both a HIA 2 and HIA 3 assessments are completed and normal.

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