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MESS Mangled Extremity Severity Score Calculator
Interpretation guidance The Mangled Extremity Severity Score is the sum of four component scores skeletal and soft tissue injury limb ischemia shock and patient age. A multiply of the limb ischemia component is applied when warm ischemia time exceeds six hours leading to a higher effective ischemia contribution in the total. Historically total scores of seven or greater have been associated with a high likelihood of