Enrolment Form - COVIDTrauma
Thank you for registering to be a member of the COVID Trauma research network, an Orthopaedic Research Collaborative in Africa (ORCA) study in partnership with AO Alliance.
As we are all aware the COVID-19 pandemic has caused unimaginable disruption to healthcare services around the world.
As a valued member of the African Orthopaedic Trauma community we would like to invite you to be part of our COVID Trauma research network to monitor how the current COVID-19 pandemic is impacting orthopaedic trauma services across Africa. It is essential that we join together as an orthopaedic community to tackle this unprecedented challenge.
In order to enrol as a key member of this network please follow the link below and register your hospital. Anyone, irrespective of grade or job role, can register their facility to join the COVID Trauma research network. This short registration questionnaire takes less than 5 minutes to complete and we will contact you directly once registered.
Even if there are no or few COVID-19 in your country or region it is still essential that you still join us since this information is important.
Following registration, we will contact you once a week and ask you to complete a simple 3 minute questionnaire about the impact of the pandemic on your orthopaedic trauma service.
All standard mobile phone airtime and/or internet charges will be reimbursed on completion of the study.
EVERYONE WHO CONTRIBUTES TO ANY STAGE OF THE STUDY WILL BE CONSIDERED A NAMED COLLABORATOR AND BE LISTED ON ANY PUBLICATIONS AND PRESENTATIONS.
AO Alliance and ORCA
University of Cape Town
University of Liverpool
University of Oxford
The Institute for Global Orthopaedics and Traumatology (IGOT), University of California, San Francisco
I consent to join the COVID Trauma research network and to be contacted in the future. NB Please use the same email throughout the study as this will be your unique identifier. (Please see
for data protection information)
Which country do you work in?
Central African Republic (CAR)
Congo, Democratic Republic of the
Congo, Republic of the
Eswatini (formerly Swaziland)
Sao Tome and Principe
What is the name of your hospital
Where is your hospital located (town/city/other)
What type of hospital do you work in?
Tertiary referral hospital/university hospital
Community hospital / health centre
Elective hospital only
Does your hospital have an accident and emergency department?
How do musculoskeletal trauma patients present to your hospital? Select one or more (tick one or more)
Patients own transport
Ambulance – road
Ambulance - air
Ambulance transfer from other hospital
Does your hospital have a team in accident and emergency dedicated to the management of patients presenting with musculoskeletal trauma?
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