“…Firearm exposure has been identified as a significant contributing factor to the overall problem and prevalence of NIHL (Agrawal et al, 2009; Agrawal et al, 2010). There are many common sources of impulse noise, including not only small arms (either military or civilian) (Tambs et al, 2006; Flamme et al, 2009b; Stewart et al, 2009; Ahroon et al, 2011), but also firecrackers (Flamme et al, 2009a), starter pistols (Meinke et al, 2013), and some workplaces where occupational noise conditions include impulse sounds (Sulkowski et al, 1999; Suvorov et al, 2001; Zera, 2001). Temporary threshold shift (TTS) as a result of impulse noise exposure has been reported (Bapat & Tolley, 2007), as well as changes in otoacoustic emissions (Pawlaczyk-Luszczynska et al, 2004; Balatsouras et al, 2005; Konopka et al, 2005; Olszewski et al, 2007).…”