In this episode, we break down how to assess fluid status at the bedside using IVC ultrasound and VExUS (Venous Excess Ultrasound Score). We walk through how to interpret IVC diameter and collapsibility, when it works (and when it doesn’t), and how VExUS expands your assessment by integrating hepatic vein, portal vein, and renal venous Doppler to evaluate venous congestion and fluid tolerance. This episode focuses on one of the most important clinical challenges in critical care: determining fluid responsiveness vs fluid overload. We outline a practical, physiology-based framework you can apply immediately in the ICU and emergency department. If you’ve ever struggled with deciding when to give fluids—or when to stop—this episode will help you move toward a more complete and clinically useful approach to hemodynamic assessment. 🎥 Watch the full video here: https://www.youtube.com/watch?v=ll9pIGLtVh0 🚀 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.

Ask this episode

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

Transcript

Related