EDI-PCC patients are young, likely secondary to traumatic and critical, sudden events. In-hospital mortality rate for EDI-PCC patients is very high (most die early and in the ED setting), signifying a trend for ED clinicians to request PC consults in those who are imminently dying. PC consult teams called to the ED should expect to provide high-priority, time-sensitive services and anticipate a high level of bereavement/emotional support for distraught and unprepared families, with major discussions around end-of-life care.

A structured note template with a prompt for emotional assessment increases the overall quantity and richness of documentation related to patient and family emotions. However, this documentation remains mostly descriptive. Additional prompting for documentation of recommendations to address identified emotional needs, and the use of screening tools for depression and anxiety, when appropriate, may be necessary for clinically meaningful quality improvements in patient care.

We effectively increased documented GOC discussions before feeding gastrostomy tube placement among stroke patients. Systems-based tools and education will enhance this upstream trigger model to ensure early PC for stroke patients.

Objectives 1. Describe methods for using Facebook ads in research. 2. Discuss results of a Facebook ad campaign for parents of children with cancer. 3. Discuss implications for future research and practice. Background. Studies involving children with life-threatening illnesses face significant challenges, including inadequate sample sizes and limited diversity. Social media recruitment may be one effective strategy to address such challenges but has not been tested in pediatric palliative care populations. Research Objectives. To examine the feasibility of using Facebook to recruit parents of children with cancer. Methods. Researchers used Facebook advertising to recruit parents of children with cancer to complete an electronic survey about research preferences. Participants were 18 years of age or up and legal guardians of children currently living with cancer. The ad ran from June 19 to August 31, 2012. The ad targeted age (18 years and up), location (United States), language (English), and childhood cancer interest terms (e.g., childhood cancer).

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