Recent advances in instruments are transforming our capabilities to better understand, monitor, and model river systems. The present paper illustrates such capabilities by providing new insights into unsteady flows captured with a Horizontal Acoustic Current Profiler (HADCP) integrated at an operational index-velocity gaging station. The illustrations demonstrate that the high-resolution stage and velocity measurements directly acquired during flood wave propagation reveal the intricate interplay among flow variables that are essential for better supporting judicious decision making for river management, flooding, sediment transport, and stream ecology. The paper confirms that the index-velocity method better captures the unsteady flow dynamics in comparison with the stage-discharge monitoring approach. At a time when the intensity and frequency of floods is continuously increasing, a better understanding of the critical features of flood waves during extreme events and the possibility of capturing more accurately their dynamics in real time is of special socio-economic significance.