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An abnormal HIA1 off-field assessment supports a suspected concussion and the player is removed from further game participation. The follow up HIA2 may confirm an early diagnosis of concussion if abnormal and or an HIA3 if abnormal confirms a Late diagnosis of concussion.
Head Injury Assessment (HIA) Protocol. 1. The Head Injury Assessment (HIA) protocol is a three-stage process introduced by World Rugby for elite adult teams to assist with the identification, diagnosis and management of head impact events with the potential for a concussion.
Appendix 1 - HIA Definitions Criteria 1 signs and symptoms. The following signs and symptoms are Criteria 1 and indicate that a player must be immediately and. permanently removed from further match participation: Confirmed loss of consciousness. Suspected loss of consciousness.
The HIA 1 has four components and they are: a) 11 immediate and permanent removal criteria (known as Criteria 1 indications) AND b) an off-field screening tool AND c) pitch-side video review AND d) clinical evaluation by the attending doctor Page 2 Head Injury Assessment (HIA) Protocol 2 The HIA1 assessment is
The HIA protocols dont end there. Players must undergo a second post-match test and a third 36-48 hours after the incident to be cleared to play the following week. Should players fail those tests, they are placed into a mandatory 12-day stand down and must tick several boxes before returning to contact.
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Stage 1 game day assessment using the HIA1 Form. Stage 2 post-game, same day assessment using HIA2 Form. Stage 3 36-48-hour post-injury assessment using HIA3 Form. The in-match assessment (HIA1) lasts 12 minutes as is for any players who sustain head impact events with the potential for a concussion.

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