How to Use POCUS for Bedside CHF Management and Fluid Status Assessment

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Doctor Tatiana Havryliuk, an emergency physician and founder of Hello Sono, is keen to educate more clinicians on using Point-of-care ultrasound (POCUS) to manage congestive heart failure (CHF) at the bedside.

For the clinicians who are purely relying on auscultation and are not using POCUS, they’re really missing out,” she asserts. “First of all, POCUS is a lot more sensitive test for fluid overload. The sensitivity is in the 90th percentile compared to auscultation. The most recent meta-analysis showed it’s 42% sensitive for fluid overload and pleural effusions.”

For Dr. Havyrliuk, this stark diagnostic gap means clinicians relying solely on physical exams are often missing early signs of decompensation; signs that could be intercepted well before a patient requires an emergency department visit or hospital admission.

Watch this 2-minute video to learn how real-time bedside ultrasound can help you optimize CHF therapy, improve diagnostic accuracy, and keep your patients out of the ER.

POCUS For Primary Care Webinar: Ultrasound Tips for Diagnosing and Managing CHF

During a one-hour Clarius webinar on June 17th, Dr. Havryliuk will break down how to easily integrate fluid status assessment into your daily clinical practice. By evaluating the inferior vena cava (IVC) for collapsibility, clinicians can rapidly differentiate a patient who is fluid overloaded from one who is not and make definitive treatment decisions in real time. For primary care and outpatient clinicians hesitant about cardiac scanning, Dr. Havryliuk will highlight how advanced features like Ejection Fraction AI act as reliable ancillary tools to confirm clinical judgment, build confidence, and streamline charting.

Register now for this free, practical, case-based webinar. By the end of the webinar, attendees will be able to:

  • Identify B-lines on lung ultrasound and correlate findings with pulmonary congestion
  • Perform a focused cardiac assessment to evaluate LV function
  • Locate and image the IVC and assess collapsibility to estimate volume status
  • Integrate lung, cardiac, and IVC findings into a unified CHF assessment workflow
  • Recognize with POCUS findings should prompt urgent referral or intervention.

Ultrasound That’s Easier Than You Think

Dr. Havryliuk uses the Clarius PAL HD3 wireless handheld ultrasound to teach POCUS. For the fraction of the cost of a traditional ultrasound system, Clarius equips you with high-definition imaging and smart tools right at the bedside, helping you make confident decisions and treat without leaving the exam room. Clarius Intelligence tools like the Clarius T-Mode™ make it easy for new users to understand what they’re seeing and start scanning with confidence from day one – no steep learning curve, no guesswork. Learn more about Clarius POCUS for primary care. Feel free to schedule a private virtual demonstration at your convenience.

About Dr. Tatiana Havryliuk, M.D

Dr. Tatiana Havryliuk is an emergency physician, formerly ultrasound director at the Brooklyn Hospital, and founder of Hello Sono. Throughout her 15 years of clinical practice, she has relied on POCUS to make informed clinical decisions, whether it was in an urban ED, urgent care, or Everest Base Camp. Dr. Havryliuk is now on a mission to extend the benefits of POCUS to primary care and urgent care practices by addressing the key barriers: lack of POCUS competency and operational readiness. She and her team at Hello Sono offer in-person provider training and support with credentialing and implementation to build high-quality, compliant, and financially sound POCUS programs.

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