Busted eardrum does not directly relate to permanent ear damage. Destruction of the individual cochlear hairs is permanent and the eardrum heals rather rapidly, often with little or no loss of hearing.
Sound pressure measuring equipment usualy measures the gross output of the source without consideration of the various frequencies within that sound. One could have a gross sound level that was acceptable for short period exposure; but within that sound there could be a particular frequency that was substantially above the risk threashold.
If you are an audiophile you are screwed. If you just want to be able to understand the human voice you can afford to lose a lot of different frequencies and still get by.
Let us not forget that the 120db limit is arbitrary and based on one time instantanous exposure. The longer the time of exposure and the more times exposed both contribute to the extant of damage. If you dump a magazine from the hallway it will take a far lesser amount of sound pressure to wipe out certain frequencies and derrogate your hearing at some other frequencies.
The ear is a rather high resolution instrument, one can have total loss at 3,040 hertz and yet hear adequately at 3,000 hertz. Too bad First Alert makes some of their alarms to emit at 3,040, I can hold one in my hand and only tell it is activated by the vibration in my hand.
My point, at last.......There may be a load, heavy or small, that will affect the speech recognition less at the sacrifice of other frequencies.
There are few audiologistss who can even test for hearing loss at other than standard test frequencies. 500, 1000, 1500, 2000,3000,4000 etc hertz. It is possible for a functionaly deaf person to take the test and pass it well. His disability only shows when doing word discrimination testing and that can be done in a bar with no equipment.
Some excellent work along this line has been done by the House Brothers clinic in L.A. and by the Naval Aviation School of Medicine in Pensacola.
Sam.........say wha?