Venkatadass K, et al. - The clinicians examined the usefulness of Ganga Hospital Open Injury Severity Scoring (GHOISS) in pediatric open injuries and compared it with MESS(Mangled Extremity Severity Score). They concluded that in type IIIB open fractures in children, GHOISS was a reliable predictor of injury severity and could be used as a guide for decision-making. Compared to GHOISS, the use of MESS score in children had a lower predictive value in deciding amputation vs. salvage. A GHOISS of 17 or more had the highest sensitivity and specificity to predict amputation.