Is your average ER doctor/trauma surgeon really interested enough n the terminal ballistic aspect of it to discern the difference? Or do all bullet holes just look the same to someone whose primary function is to save the victim's life? I don't take this information gleaned from your average trauma surgeon at face value. It's interesting because I just spent a week hunting rather large bovines with two experienced doctors, both of whom are VERY interested in terminal ballistics (it's the whole point of the trip) and neither was using a .357.
I've thought about the "doctors can't tell the difference" between the calibers in wounding, my thoughts as to why this might be:
They are not looking for it, as you said they are focused on saving the person not wondering whether the wound was made by 9mm or 45.
Most cops are not "into" guns, doctors probably even less, differences in wound damage is probably not a point of personal interest.
Doc #1: This guy got shot trying to rob a conceal carry lady, just look at the wound...
Doc #2: I've got $10 that says when we recover the bullet its a 9mm HP
Doc #1: You're on cause this is going to be 45 HP and I know it.
I do not envision this conversation being a part of Medical school:
Instructor to class: we have two cadavers, the first was shot with 9mm HP, the 2nd was shot with 45 HP note the difference in wounding.
IMO it would be impossible not to see a difference in the wound made by a 9mm FMJ versus an expanded 45 HST, if you were looking for it.
The difference in incapacitation time even if measured in seconds is completely missing from "can't tell the difference" in wounding.
Difference like whether an attacker was momentarily involuntarily stopped from aggressive action, whether incapacitation took 9 seconds or two minutes.
I've bowkilled a couple dozen deer; I am interested in wounding damage from different broadheads.
Whenever I shoot a deer its time for me to be jr scientist / jr detective and see the result, including reaction at shot, blood trail, and wound.
One generalization (exceptions exist) is larger diameter heads generally leave more blood on the ground, given a double lung pass through.
In same style head, fixed 4 blade with steep angles, I can discern the difference in entry hole between a 1'' diameter versus a 1 1/4'' diameter head.
Walking up on the deer in the field, one might think "that's a nasty hole" with either head. (Like doctors looking at a single gunshot patient)
However, comparing pictures of entry holes later the difference in increasing entry wound by 25% is easily visible.
I won't post these pics as the thread is about pistol bullets nor do I want to post pics deemed not suitable for THR.
I doubt that doctors take pics of handgun wounds to compare later, might be against policy and likely deemed suspicious if not.
Nurse: Why you taking pics of that guy instead of saving him?
Doc: Well ___ PD shot him and I know they carry 45 HST - we will have it for reference later.
Nurse: What???
Doc: Yea, ___ County Sheriffs carry 9mm Gold Dot when we get one from them, we'll have photos of the difference in wounding to compare.
Think Doc is going to stay employed very long?
Interest in firearms and wounding might not go over very well in most hospitals / ER.