Crackles - Coarse (Rales) | Auscultation Cheat Sheet with Sounds & Video | #73

Coarse crackles are a loud and distinctive lung sound, often described as popping or bubbling. These intermittent sounds have a lower pitch than their fine counterparts and tend to linger longer in duration - try simulating the noise by rolling pieces of hair between your fingers near your ear!

Patient Sounds

Half Speed Patient Sounds

Technique

The patient's position should be seated.

Auscultation Tips

Features:Course crackles are discontinuous, brief, popping sounds. Similar to the sound of a hook and loop fastener being pulled apart. They have also been described as a bubbling sound. More common during inspiration

Sound Wave

Authors and Sources

Authors and Reviewers

ECG heart rhythm modules: Thomas O'Brien.
ECG monitor simulation developer: Steve Collmann
12 Lead Course: Dr. Michael Mazzini, MD.
Spanish language ECG: Breena R. Taira, MD, MPH
Medical review: Dr. Jonathan Keroes, MD
Medical review: Dr. Pedro Azevedo, MD, Cardiology
Last Update: 11/8/2021

Sources

Electrocardiography for Healthcare Professionals, 6th Edition Kathryn Booth and Thomas O'Brien
ISBN10: 1265013470, ISBN13: 9781265013479
McGraw Hill, 2023
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company
EKG Reference Guide
EKG.Academy
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429
Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH
ECG Reference Guide
PracticalClinicalSkills.com

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Crackles - Coarse (Rales) | Auscultation Cheat Sheet with Sounds & Video | #73