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Page 319 пппп296 SECTION Filagra directions в General Principles TABLE 13в4 zzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzzz filagra directions (Mangled Extremity Severity Score) Variables Component SKELETAL AND SOFT TISSUE INJURY Points ппLow energy (stab; simple fracture; ввcivilian gunshot 1 woundвв) Medium energy (open or multiplex fractures, 2 dislocation) High energy (close-range shotgun or ввmilitaryвв 3 gunshot wound, crush injury) Very high energy (same as above plus gross 4 contamination, soft tissue avulsion) LIMB ISCHEMIA (SCORE IS DOUBLED FOR ISCHEMIA 6 HR) Pulse reduced or absent but perfusion normal 1 Pulseless; paresthesias, diminished capillary refill 2 Cool, filagra directions, insensate, numb 3 SHOCK Systolic blood pressure always 90 mm Hg 0 Hypotensive transiently 1 Persistent Buy Xenical in Boston 2 AGE (YR) FIGURE 13в1.

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