Which of the following score evaluates chances of amputation in a traumatized limb:: (A) Revised trauma score, (B) Injury severity score, (C) Abbreted injury score, (D) MES score
Answer is D. D i.e. MES score. Mangled Extremity Severity Score (MESS) used to predict necessity of amputation after lower extremity trauma Variables skeletal and soft tissue injury (graded 1-4) limb ischemia (graded 1-3) shock (graded 0-2) age (graded 0-2) Calculation score determined by adding scores of components in four categories Interpretation score of 7 or more is highly predictive of amputation