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I use custom-made ear pieces from Etymotic Research outside Chicago. They're the same company musicians use.
I started using the foam plugs ages ago, but the problem is they cut down all noise, including coaches and players yapping at each other. My E.R. set cut the dBs while allowing me to hear more ambient noise, so yes I do hear the coaches more, but it allows me to communicate better.
As a former DJ and attendee of many loud sporting events in my youth, I had hearing loss long before I started officiating. My first year, before plugs, I held my whistle on the right side of my mouth. Result is my right ear has greater hearing loss.
GET THEM!
Contact an audiologist who can do the foam fittings. My set was $150.
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