In this podcast episode, Dr. Abhilash Koratala from the Medical College of Wisconsin provides a comprehensive overview of VEXUS (Venous Excess Ultrasound), a valuable tool for assessing a patient's hemodynamics and fluid status at the bedside. Dr. Koratala explains the three key components of evaluating the hemodynamic circuit, which includes Forward Flow, Fluid Responsiveness, and Backward Pressures of the heart. He emphasizes the importance of assessing Systemic Venous Congestion and its impact on organ perfusion, particularly the kidneys. VEXUS combines various ultrasound parameters, including Inferior Vena Cava, Hepatic Vein, Portal Vein, and Intrarenal Vein, to quantify venous congestion and predict the risk of organ injury. The podcast also includes practical insights and case examples of how VEXUS can guide treatment decisions and monitor patient response to therapy.