"knife and gun club" is a trite phrase used by hundreds of residencies of all kinds across the nation from coast to coast. It only denotes that there is a fair amount of penetrating trauma. Any big city program probably can call itself a "knife and gun" club. Trauma can be divided into two large categories-blunt trauma (interpersonal violence without knives and guns, MVA's, human vs animals that don't bite like horses and cows, sporting accidents not including fencing or dart throwing, industrial accidents that involve gravity) and penetrating trauma (knives, guns, projectiles of all sorts).
I think the hardest trauma I've had to deal with was a cow which became angry and decided to stomp the snot out of this old guy. He kept on telling me he had a cow that became enraged. I searched the literature, text books and there just aren't alot of helpful tips on "bovine" related injuries. I searched all the current literature data bases for "mad cow" and the only mechanism of injury that those "mad cows" used was something called a prion and they made the poor people eat their prions and the people got sick (british cows... go figure... much more civilized type of beast compared to this outlaw American cow I had on my hands). I came to the conclusion that this cow I was dealing with was a bit more "mad" than those cows. This cow actually stomped this guy to pieces!
If Detroit is a "knife and gun club" then here in Urbana, Illinois I guess we'd be called ......... a "car and cow" club which doesn't sound quite as cool or sexy as "knife and gun" but I guess its still a little better than a "dog and pony show" which is what I've heard Shreve is becoming since Cardsfan arrrived there 😀 😀
