Mangled Extremity Severity Score (MESS Score)

Estimates viability of an extremity after trauma, to determine need for salvage vs empiric amputation.

Limb Ischemia for > 6 Hours? Limb Ischemia Points x2
Limb Ischemia
  • +1
  • +2
  • +3
Patient Age Range
  • 0
  • +1
  • +2
Shock
  • 0
  • +1
  • +2
Injury Mechanism
  • +1
  • +2
  • +3
  • +4
MESS Score points
A score >7 predicts a low likelihood of limb/extremity viability.

Posted in: OrthopedicsSurgery









The NNT : Quick Summaries of Evidence-Based Medicine