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At some point, the noise is literally reaching your ears THROUGH YOUR HEAD rather than through your ears, so plugging your ears better doesn't help any more.
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I discovered that opening my mouth to yawn right as a guy let off a braked .223 next to me! Never again! My ears rang for a bit even though I'd muffed and plugged up!
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I know the military is telling their guys to leave ear plugs in while on patrol.
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I'm suprised they aren't told to wear those fancy cybernetic noise-amplifying earplugs I see around. Makes as much sense as the other fancy safety gadgets they've implemented. Especially because that's gotta be one of the most (if not the most) common physical injuries sustained by our guys.
TCB