Hospital-based Emergency Life Intervention Protocol

(HELP)
Hospital Canselor Tuanku Muhriz
UKM Medical Centre
(Prepared & Compiled by Code Blue Committee)
Hospital-based Emergency Life Intervention Protocol (HELP)

Universal trigger parameters that will be used throughout the hospital for HELP to be activated (except for
paediatric patients, please refer to HELP Paediatrics)

PLAN VALUES PARAMETER VALUES PLAN

Unconscious Consciousness Altered

2-point change
<8 GCS
from baseline

Temperature >38.5 ͦc

Obstructed Airway Noisy breathing

> 25/min
Not breathing Respiratory Rate
< 8/min
ACTIVATE HELP
ACTIVATE CODE
TEAM
BLUE Systolic
Unrecordable Blood Pressure < 90 mmHg
> 160 mmHg

> 120/min
No pulse Heart Rate
< 50/min

< 90%
Undetected SpO2 despite oxygen
therapy

Urine Output < 0.5mls/kg/hr

Pain Score > 4/10

GCS: Glasgow Coma Scale; SpO2: Peripheral Oxygen Saturation

 Algorithm for using HELP in Level 9: Multipurpose Hall
ENT/Opthalmology/Orthopedics Department

Initial Assessment

Trigger Parameters Activate Code

Fullfill criteria for HELP Blue
#6999

Call Medical Officer (Office Hour/On-Call)

Institute Appropriate Management And

Treatment
Re-Assess

Yes Improvement? No

Continue Observation And Send patient to ED for

Management proper assessment and management
(consult the on-call registrar or specialist of
appropriate speciality)