Estimates viability of an extremity after trauma, to determine need for salvage vs empiric amputation.
- All patients with significant trauma require a thorough trauma assessment and resuscitation.
- Trauma victims require management of significant craniocerebral, thoracic, abdominal, and pelvic injuries prior to consideration of limb salvage.
After initial stabilization and resuscitation in the Emergency Department, urgent orthopedics consultation or transfer to a higher level of care is critical as time of ischemia plays a significant role in the MESS.
Patients with a MESS ≥ 7 are likely to require amputation secondary to their limb trauma.