MESS

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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 periodicals archive ?
In a related vein, judicial deference to agency interpretations under the Chevron doctrine also can be viewed as a form of inexpertness-based messiness avoidance.
Suddenly, however, the Democrats have a real contest on their hands, and the consensus among people who practice (or talk about) politics for a living is that the messiness on display can only hurt the party.
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On Boxing Day the same club offers those Ibizan party monsters Alex P and Brandon Block - carnage is guaranteed so don't miss out on mucho messiness.
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Using various approaches, ranging from socio-cultural history to queer studies to literary criticism, Puff attempts to "transfer a term such as sodomy, despite its contradictions, from the moment of its invention as an 'artifact' in the Christian theology of the Middle Ages into the messiness of history (p.
For example, studies on microbicides have indicated that potential users are concerned about "messiness," but it is not clear if this refers to inconvenience (needing to clean up), a potential reduction in sexual pleasure, concerns about partners' reactions or a concern that messiness would decrease the potential for covert use.