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Purpose: To describe a single center experience with emergency video telemedicine for newborn resuscitations and compare quality metrics for two telemedicine technologies. Methods: In this pre-post observational study, descriptive data was collected on all clinical video telemedicine consultations. During the pre-intervention phase, local care teams used wireless tablets with secure video conferencing software for telemedicine consultation. During the post-intervention phase, wired telemedicine carts that included a high-definition, pan/tilt/zoom camera and a noise-cancelling, full-duplex microphone/speaker set were utilized. After clinical and simulated consults, surveys were administered to the neonatologist and local care team to measure the reliability of connection, …