Vesicular
Soft, low-pitched sounds heard over most peripheral lung tissue. Inspiration is longer and louder than expiration.
Audio breath sound library
Use the training clips already inside EMSCodeSim to compare normal and abnormal sounds. Focus on pitch, continuity, respiratory phase, location, and patient context.
Listening lab
Headphones can make subtle details easier to hear. These clips support pattern recognition; actual patient sounds vary.
Mostly inspiratory, soft and low-pitched
Expected over most peripheral lung fields.
Sound families
Soft, low-pitched sounds heard over most peripheral lung tissue. Inspiration is longer and louder than expiration.
Medium pitch and intensity, commonly heard near the upper sternum and between the scapulae.
Louder and higher-pitched, expected over the trachea or central airways—not normally over peripheral lung fields.
High-pitched, musical, continuous sound caused by airflow through narrowed airways; often louder on expiration.
Lower-pitched, coarse, snoring-like continuous sound associated with turbulent airflow or secretions in larger airways. It may change after coughing.
Grating or creaking sound linked to inflamed pleural surfaces rubbing together. It may be heard during both inspiration and expiration.
Brief, high-pitched, delicate popping sounds, often late inspiratory and sometimes compared with separating fine hook-and-loop fastener.
Louder, lower-pitched bubbling or popping sounds, often associated with larger airways, secretions, or fluid.
Crackles are individual interrupted events. Wheezes and rhonchi continue for a longer portion of the breath.
Harsh, high-pitched sound from upper-airway narrowing, often most noticeable during inspiration and over the neck.
Stridor with respiratory distress, drooling, swelling, trauma, altered mental status, or rapidly worsening symptoms is an airway emergency warning sign.
Compare two clips
Select two sounds and play them back to back. Try normal versus wheeze, normal versus diminished, or wheeze versus stridor.
Mystery sound
Load a mystery sound to begin.
Knowledge check