From the classroom to the emergency room, O.R. and beyond. You're joining trauma ICU rounds with your

host, Dr. Dennis Kim. Welcome back to trauma ICU rounds. I'm your host, Dr. Dennis Kim. Today, I am very

excited to be speaking with Dr. Clay Cothran Berlu, who is a trauma and acute care surgeon at Denver Health.

Dr. Berlou wears many, many hats.

She is a professor of surgery and the director of the surgical intensive care unit,

as well as the program director of the surgical critical care fellowship

and the double AST approved trauma and acute care surgery fellowship.

Dr. Ballou is an active and busy surgical investigator, educator, and clinician.

She's received multiple awards for academic teaching and mentoring excellence.

She serves on the Committee on Trauma for the American College of Surgeons and the Board of

Managers for the American Association for the Surgery of Trauma. Dr. Berlou also serves on all of our

key national committees, including the Western Trauma Association, and she's a past president

of the Southwestern Surgical Congress. Dr. Ballou has authored over 170 peer-reviewed

articles and 70 book chapters. In addition, she's given over 100 national lecturers and

scientific presentations. Among her many clinical and research interests are the evaluation

and management of blunt cerebral vascular injuries, as well as the management of

unstable pelvic ring fractures, which is the topic of today's rounds.

So recently on Twitter, I had tweeted out a case of a severe, hemodynamics, unstable pelvic fracture

and wanted to get a sense from Twitterverse, trauma surgeons, fellows, and residents as to how they might manage this particular clinical scenario.

Now, you and your group at Denver Health have been writing about this topic for quite a while now,

and whether it's the development or evolution of your multidisciplinary pathway for unstable pelvic ring fractures or the

increased application of preperitoneal packing, I love to get your thoughts on the optimal approach

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