In this episode, we break down VExUS ultrasound (Venous Excess Ultrasound Score) and how to assess venous congestion at the bedside in critically ill patients. We walk through the physiology of venous congestion and how to integrate IVC ultrasound, hepatic vein Doppler, portal vein Doppler, and renal venous Doppler into a practical framework for evaluating fluid tolerance vs fluid overload. This is a powerful tool for clinicians managing patients in the ICU and emergency department who are trying to decide when to give fluids—and when to stop. If you’ve ever struggled with fluid status assessment, this episode will help you move beyond isolated measurements and toward a more comprehensive, physiology-based approach. 🎥 Watch the full video here: https://www.youtube.com/watch?v=aeXJxP-emWk 🚀 Support WhiteBoard Medicine + Get Full Access Get the full study guide for this episode + complete emergency critical care curriculum: https://www.patreon.com/c/WhiteBoardMedicine Our Patreon includes: • 📄 Study guides for every episode • 🎓 Mini-courses (ventilation, shock, RRT & more) • ❓ Practice questions • 🚫 Ad-free content • 🧠 A structured ICU curriculum ⚠️ Disclaimer This content is for educational purposes only and is not intended to provide medical advice. Clinical decisions should be made based on individual patient circumstances, institutional protocols, and clinician judgment. This content does not represent the views of any affiliated institutions.

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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