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 ?
"You can't just write 'womenwhowork' and think you're advancing feminism," Messing added.
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So, Baumiller and Messing joined forces with an urchin specialist, Richard Mooi of the California Academy of Sciences in San Francisco.
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Messing, 35, was unable to appear in this season's final four episodes of the Channel 4 show about a gay man and his female best friend after doctors ordered her to stay off her feet for the remainder of her pregnancy.
Jinsheng Lai, research associate at Rutgers' Waksman Institute of Microbiology, and Joachim Messing, professor and director of the institute, presented their findings in the current issue of The Plant Journal (Vol.
Feminist researchers in the social sciences will be familiar with Messing's contention that it is not simply individual scientists' sexism that blinds them to the physical, psychological and emotional workplace hazards which women face daily in food processing plants, hospitals, offices or restaurants, to name only some of the places where women work.
Nets were put up during the summer to stop the birds messing up signs, lights and the sides of buildings.
"Will & Grace" alum Debra Messing recently weighed in on rumors that NBC has picked up a 10-episode revival for the TV show.