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

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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 ?
If we get a penalty against Spurs (on Saturday), I won't mess around - I'll smash it into the net," said Henry.
And yet I'm the classic dysfunctional jealous person because it's OK for me to mess around but don't you mess around.
WHEN (MOST) IRISH EYES ARE SMILING: Louis Walsh and Kerry Katona mess around, far right, there's grins from Shane MacGowan, right, and Westlife, top, but not Justin Hawkins, above' PICTURE: BIGPICTURESPHOTO.
He comes from a hurling background and I don't think they mess around in that.
NAME the artist and song and you could win a prize: The 22nd of loneliness and we've Been through so many thangs I love my man with all honesty But I know he's cheatin' on me I look him in his eyes but all he Tells me is lies to keep me near I'll never leave him down though I might mess around it's only 'Cause I need some affection ohEntries to: John Dingwall, Daily Record, One Central Quay, Glasgow G3 8DA or email j.