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Table 2 MESS Absolute indication for amputation: >7

From: Primary amputation vs limb salvage in mangled extremity: a systematic review of the current scoring system

Energy

Low

1

Medium

2

High

3

very high

4

Ischemia

Perfused

1

Pulse absent

2

Cool, paralyzed,insensate

3

Shock

SBP > 90

0

Transient

1

Hypotension persistent hypotension

2

Age (years)

<30

0

30–50

1

>50

2