Lung, heart sounds

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Hi, does anyone have trouble finding 'intercostal' spaces when doing lung and heart sounds? Do people 'really' know where they are or are they guessing when they are saying 'I am going to the 'fourth' intercostal space?' When I look at this demonstration all I see is a 'chest' with no markings or dents to signify an intercostal space. If it is not exact, I am not sure how to get an accurate sound. It just seems horrendous to me to say go say 'go to the fourth intercostal space' when it is not exact or may be a near miss and it may not be the right location.

Any help would be appreciated.

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I literally just count the ribs. I do EKGs for work and I will just start at the clavicle and go from there to ensure proper EKG lead placement. I do it lightly as to not hurt or tickle the patient. You can also start at the sternal notch if that's easier.

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