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Study Examines How to Better Protect Service Members from Hearing Loss

Dr. Kelsie Tomlin Au.D.

Apr 30, 2025

A cellphone ringing, a siren approaching, a gunshot sounding in the distance. We depend on our hearing in many dynamic situations to make informed decisions about our surroundings. People working in the armed forces, construction, and public safety, however, depend on their sense of hearing to stay alive.

According to the Centers for Disease Control and Prevention, veterans are 30 percent more likely to have severe hearing loss than the general population.

“Hearing loss and tinnitus represent the largest injuries in terms of money spent for the U.S. military, in terms of money spent. For over 3 million affected service members, over a billion dollars per year are spent on medicines, tinnitus therapy, hearing aids, surgery or other medical care,” said College of Engineering researcher and John Grado Endowed Professor John Casali.

The challenge is this: Soldiers, first responders, and construction and industrial workers need to hear sounds from all directions to detect threats, hear warning signals, and communicate with co-workers. At the same time, the delicate neural structure of the inner ear needs to be protected from loud sounds such as gunfire. Hearing is always “on” and omnidirectional, unlike vision, which requires focus. When hearing is injured or impaired, its value to human functioning becomes evident.

“When your life depends on your hearing, and your hearing depends on your hearing protection, auditory situational awareness presents a conundrum.” Casali said. “When people lose their auditory situational awareness, they are often compromised in their work and as a result may not be able to continue in certain mission operation specialties.”

Casali and researchers in the Grado Department of Industrial and Systems Engineering (ISE)  have made significant strides in improving hearing protection and situational awareness for military personnel through the development of a groundbreaking training system. The Portable Auditory Localization Awareness Training (PALAT) system thoroughly tests military-grade hearing protectors to see how they impact a soldier’s ability to detect, recognize and localize sound, as compared to the open, natural ear.

A compact, portable training tool, the PALAT system can be set up in an office environment, barracks, or other military-training locales. The fold-up style and size were designed so subjects could easily and efficiently perform the headset training. It also provides trainees with an immediate, objective score for their performance, compares them with other trainees, and adapts to their performance to provide additional training as needed. Involving a diverse team of researchers over the course of 11 years, the final PALAT prototype was developed entirely at Virginia Tech.

Article originally appeared on VirginiaTech News

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  • Dr. Emily Kiser was just so amazing with our 6 year old during his first hearing test. She was so patient and always smiling and encouraging him.

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  • I had my first visit with FHC today. From the initial phone inquiry, to Intake at the office, the clinical testing; the staff and Dr were very polite, service oriented and professional.
    I definitely will be a repeat patient!

    C.S

    2 weeks ago

  • Dr Emily was very knowledgeable, kind, funny, helpful in getting us fixed up with hearing aids and the cost was better than some other places. We will definitely be going back.

    Kathy C

    2 weeks ago

  • I was in need of a same day appointment and Dr. P went above and beyond to accommodate me. She treated me respectfully and professionally during my hearing exam. Will use her on future visits.

    Leslie T

    1 month ago

  • Dr. Emily Kiser was just so amazing with our 6 year old during his first hearing test. She was so patient and always smiling and encouraging him.

    Natasha L

    2 months ago

  • I had my first visit with FHC today. From the initial phone inquiry, to Intake at the office, the clinical testing; the staff and Dr were very polite, service oriented and professional.
    I definitely will be a repeat patient!

    C.S

    2 weeks ago

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