MESS


Also found in: Dictionary, Thesaurus, Legal, Acronyms, Idioms, Wikipedia.
Related to MESS: Mass, Mame, Maß
Mangled Extremity Severity Score. A scoring system used to evaluate the need to amputate an extremity; a MESS of 7 indicates a need to amputate

Modifying factors Loss of posterior tibial nerve causes trophic ulceration; ischemia > 6 hours doubles the MESS

MESS

Mangled Extremity Severity Score Traumatology A scoring system used to evaluate the need for amputation in an extremity; a MESS of ≥ 7 indicates a need to amputate Altering factors Loss of posterior tibial nerve causes trophic ulceration, ischemia > 6 hrs doubles score. See Amputation.
MESS scoring points
Skeletal & soft tissue injury
• Low energy–stabs, simple Fx, civilian gun shot wounds
•  Medium energy–open or multiple Fx, dislocation
•  High-energy–close range shotgun, military gunshot wounds, crush injury
•  Very high energy–as in line just above, with gross contamination or tissue avulsion
Limb ischemia
•  Pulse reduced, normal perfusion
•  Pulseless, paresthesia, ↓ capillary filling
•  Cool, paralyzed, numb
Shock
•  Systolic BP ≥ 90 mm Hg
•  Transient hypotension
•  Permanent hypotension
Age
•  < Age 30
•  Age 30–50
•  > Age 50

Mangled Extremity Severity Score

,

MESS

An assessment tool used in trauma patients to predict the likelihood that an injured arm or leg will require amputation. MESS takes into account the age and blood pressure of the patient, the type of injury, and the perfusion of the injured limb.
References in classic literature ?
He came over as he was, and the "Shikarris" shouted till the Gunners' Mess sent over to know if they might have a share of the fun.
The mess sergeant fled out into the darkness and returned with two troopers and a corporal, all very much perplexed.
So you brought him into mess instead of handing him over to the sergeant
The mess was left alone with the carbine-thief, who laid his head on the table and wept bitterly, hopelessly, and inconsolably as little children weep.
he said, and every soul in the mess rose to his feet.
He rose from his chair and inspected a picture on the wall, then moved on to another picture, the mess watching him without a word.
You could have heard the hearts of the mess beating as the men drew back to give the stranger full room in his wanderings.
The Regimental Sergeant-Major looked wearily across the Sergeants' Mess tent when the news was announced.
He also intended to write on many other matters which do not concern us, and doubtless would have done so but for the slight feverish headache which made him dull and unresponsive at mess.
You go on as if you were the whole Mess rolled into one.
said the Surgeon-Major, who had hastened over from the mess where he had been dining.
George crammed eagerly a quantity of notes into his pockets, and paid Dobbin fifty pounds that very evening at mess.