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International Rugby Board Head Injury Assessment free printable template

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HIA 2 Head Injury Assessment Tool This form should be completed on all players removed permanently from the field following a head injury and on all players who have had a HIA independent of the result.
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How to fill out International Rugby Board Head Injury Assessment Tool

01
Begin with the player's details: Record the player's name, team, position, and date.
02
Assess the injury: Determine if a head injury has occurred during the match or training.
03
Conduct a baseline assessment: Use the Standardized Assessment of Concussion (SAC) as a reference.
04
Carry out cognitive testing: Assess orientation, immediate memory, and delayed recall.
05
Evaluate symptoms: Ask about current symptoms such as headache, dizziness, or confusion.
06
Conduct a neurological examination: Check for balance, coordination, and any additional signs of concussion.
07
Record findings: Document all results accurately on the form.
08
Determine next steps: Based on the assessment, decide if the player can continue or requires further evaluation.

Who needs International Rugby Board Head Injury Assessment Tool?

01
The International Rugby Board Head Injury Assessment Tool is required for coaches, medical staff, and referees working with players who may have sustained head injuries during games or practice.
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Symptom checklist Do you have a headache? Do you have any dizziness? Do you have any 'pressure in your head'? Do you feel nauseated or do you feel like vomiting?
WHAT IS THE SCAT5? The SCAT5 is a standardized tool for evaluating concussions designed for use by physicians and licensed healthcare professionals1. The SCAT5 cannot be performed correctly in less than 10 minutes.
The SCAT5 is a standardized tool for evaluating for a suspected concussion and can be used on individuals aged 13 years and older. It supersedes the original SCAT (2005), the SCAT2 (2009), and the SCAT3 (2013). For children aged 12 and under, please use the Child SCAT5.
Assessment of the head injury patient includes airway, cervical spine protection, breathing, circulation, haemorrhage control and the Glasgow Coma Scale. Hypotension, hypoxia, hypocarbia and hypercarbia should be avoided by continuous monitoring of vital signs and hourly head chart to prevent secondary brain injury.
Nursing Management Assess vitals. Assess neurological injury. Assess oxygenation and ventilation. Observe pupils for signs of elevated intracranial pressure. Assess ins and outs. Check nose and ear for CSF leak. Assess if the patient is able to sense or has pain. Encourage coughing.
Imaging. Following head injury, CT scanning of the head is the primary imaging modality of choice. CT scanning will quickly identify critical pathology such as skull fractures and traumatic intra-cranial bleeding that may require urgent neurosurgical intervention.

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The International Rugby Board Head Injury Assessment Tool is a standardized procedure designed to assess players for potential head injuries during rugby matches.
The tool is required to be filled out by medical staff or team doctors who are responsible for assessing players suspected of having head injuries.
The tool is filled out by conducting a clinical evaluation of the player, including symptom assessment, cognitive testing, and neurological checks, and then documenting the findings.
The purpose of the tool is to ensure player safety by accurately assessing head injuries and determining whether a player can return to play.
The information that must be reported includes player details, symptoms observed, cognitive assessment results, and the final decision regarding the player's ability to continue playing.
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