Hearing protectors, unless specifically designed, attenuate the higher frequency sound energy more than lower frequency energy. Because such a nonuniform attenuation characteristic can be less than optimal for certain high-fidelity requirements, acoustically tuned hearing protectors were developed. These include the ER-15 and the ER-25 earplugs that-as the name suggests-provide a uniform attenuation of 15 dB and 25 dB, respectively. To obtain different attenuation characteristics, modifications of these earplugs are clinically possible, but they will lose their uniform attenuation property. Such earplugs can be used in the performing arts and in industrial settings with noise levels below 100 dBA. The ER-20 (or HI-FI earplug) noncustom earplug also is available. Objective techniques, such as microphone-in-real-ear (MIRE) and the use of acoustical test fixtures (ATF), and subjective techniques, such as real ear attenuation thresholds (REAT), are two valid methods for assessing the effects of hearing protection. Regardless of the technique, the resulting data can be expressed in a single number rating scheme such as the Noise Reduction Rating (NRR).Learning outcomes: As a result of this activity, the reader will (1) learn about the various forms of tuned and untuned hearing protection, and (2) how to assess the effects of hearing protection.but this reflex has a protective function over a much more intense range of sounds. Our heads are quite capable of attenuating mid-and highfrequency sounds from the contra-lateral side of the body. Sounds over 1500 Hz are attenuated by the presence of the head and can be as much as 5-6 dB less intense at the shadowed Evolution has provided us with the earliest example of hearing protection. The stapedial reflex functions to contract the stapedius muscle, thus tightening the middle ear ossicles. The net result varies but has been shown to provide some degree of protection against loud sounds. The loud sounds are our own voices,