Objectives: To determine if a video physical exam clip of patients with acute bronchiolitis on high flow nasal cannula
(HFNC) altered the duration of time from handoff initiation to either acceptance or refusal of the patient from the emergen
cy department (ED) to the inpatient (IP) general pediatric wards.
Study Design: This was a randomized controlled study conducted at a tertiary care children’s ED. Patients with bronchioli
tis requiring HFNC and admission to the hospital were randomized to either video physical exam handoff or verbal handoff
via telephone call alone. The primary outcome was length of time between handoff initiation and patient acceptance or re
fusal by the IP team. Secondary outcomes included clinician handoff satisfaction scores and general safety comparisons.
Results: Of the 103 children enrolled, 53 (51%) were assigned to video physical exam handoff and 50 (49%) assigned to ver
bal handoff alone. There was no significant difference regarding length of time between ED handoff initiation and IP accep
tance or refusal of admission between the video and verbal groups (10.71 minutes vs 9.18 minutes, p=0.517, CI -0.619-3.3).
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