Timely management of acoustic trauma requires recognition of the symptoms by the injured service member and training for everyone in the medical chain on appropriate assessment, referral, and treatment methods. Training on the symptoms and management may be conducted as part of a formal course for Prolonged Casualty Care. Further, information from this CPG may be incorporated into relevant field manuals and pocket guides. Without training, the symptoms may go unreported and untreated, leading to longer term hearing loss and downstream effects on operational performance.