A stethoscope is used for auscultation of the heart, and its head can involve one or two diaphragms that allow for low frequencies (the bell) or high frequencies (the diaphragm) to be heard. Respiratory sounds refer to the specific sounds generated by the movement of air through the respiratory system. Anterior Lung Auscultation Points. These may be easily audible or identified through auscultation of the respiratory system through the lung fields with a stethoscope as well as from the spectral chacteristics of lung sounds. Classic stethoscopes have two sides of the chestpiece—the diaphragm and the bell. Prepare a quiet environment so that you will be able to clearly hear the patient’s lung sounds. Mitral closure occurs slightly before tricuspid but this does not normally cause splitting of the sound. Positioning the patient. This guide to auscultating lung sounds will cover everything emergency medical technicians (EMT) need to know about assessing a patient’s breath sounds. Ensure the patient is haemodynamically stable before mobilising them. The larger, flatter side is the diaphragm and is used for listening to higher pitched sounds. The four standard points of auscultation for the heart are: Aortic – on the patients right side of the sternum Pulmonary – on the left-hand side of the patients’s sternum Tricuspid – in the fourth intercostal space, along the lower-left border of the sternum Auscultation See Next See Full Respiratory Exam Last updated on January 27, 2011 @4:52 pm Then move to the 2nd intercostal space to assess the right and left upper lobes. (Auscultation and palpation go together in physical examination and are alike in that both have ancient roots, both require skill, and both are still important today.) Then midaxillary at the 6th intercostal space you will be assessing the right and left lower lobes. The Heart: Five Areas for Listening Auscultation of a heart begins with two critical items: a stethoscope and a patient. The first heart sound has two components, caused by mitral and tricuspid valve closure. The optimal position for chest auscultation is sitting in a chair, or on the side of the bed. Note the quality of the first and second heart sounds at each site, and whether there are any additional sounds. Lung auscultation is an important medical skill that EMTs and paramedics should be familiar with. Chest auscultation has long been considered a useful part of the physical examination, going back to the time of Hippocrates. The heart is enclosed in the chest cavity, ... Cardiac auscultation and auscultation points. Auscultation of the Chest. You will learn about the anatomy of the lung along with landmarks for lung auscultation. Heart auscultation points The emergence of tones, as well as other sounds in the heart, as mentioned above, is primarily due to fluctuations in the valvular valves that are located between the atria and ventricles and between the ventricles and large vessels.