MESS

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Related to messing around: messing up
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 ?
There was no messing around and a bouncing baby girl arrived almost as soon as they stopped the engine.
A raccoon has been messing around on one end of the pile.
The Ateneo Blue Eagle's head honcho shared a couple of videos of himself messing around after practice and draining jump shots from way beyond the playing area.
Asked if he planned to pursue the former five-weight world champion in the event of defeating Alvarez both on Saturday and after the Mexican had exercised his rematch clause, however, Khan, above, said: "Do I want to fight Floyd Mayweather with all the messing around he's given me?
LAUGHING gas seems to be the latest trendy prank in football after Raheem Sterling, Saido Berahino and Jack Grealish were all pictured messing around with it.
It is believed the pupils had been "messing around" when the incident got out of control and the boy was injured.
NR operations and customer services director Robin Gisby said: "It's good to see the number of incidents involving young people coming down, but far too many continue to risk their lives by taking a misguided short cut or worse, deliberately messing around on the tracks.
The other night we were just texting and messing around and things got a bit blue.
What is disappointing is that I have to be bothered because of people with bets of pounds 5 and pounds 20 messing around on Betfair.
Work Title: Messing Around on the Monkey Bars: And Other School Poems for Two Voices
Today, Villa fans reacted angrily to the news accusing television channels of "messing around" dedicated football fans.
The co-owners seem to be messing around with the club's finances; the manager is messing around with teams election; and, generally, the Liverpool FC traditions George Gillett and Tom Hicks spoke so dearly about 12 months ago seem to be totally undermined.