Mangled Extremity Severity Score Calculator

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Mangled Extremity Severity Score

Clinical Decision Tool

Calculates the Mangled Extremity Severity Score from skeletal injury, limb ischaemia, shock and age.

Skeletal / Soft-Tissue Injury

Low energy +1 Medium energy +2 High energy +3 Very high energy +4

Limb Ischaemia

Pulse reduced or absent but normal perfusion 0 Pulseless, paraesthesia or diminished capillary refill +1 Cool, paralysed, insensate or numb +2

Ischaemia points are doubled when duration exceeds 6 hours.

Limb Ischaemia Duration >6 Hours

No 0 Yes +1

Age

Persistent Hypotension (SBP <90 mmHg)

No 0 Yes +1

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MediCalc calculators are intended to support qualified healthcare professionals and must not replace professional clinical judgement. Do not enter patient-identifiable information into Saved Progress.

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