Some of the idiots I see wearing fancy sheath knives on African hunting videos would make me very nervous if I was their PH. Someone who can't keep his gun pointed in a safe direction shouldn't be trusted digging around in an animal's slippery innards with a sharp knife. Even an extremely experienced and astute person like myself can have a mishap. Then the PH has to explain to the lodge owner why he let a client cut his finger off.
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I have gutted well over a hundred big game animals with only one mishap in sixty years (first buck in 1967) ... until last fall. Had to make do patching myself up with flagging tape. Even a pro can make a mistake ... or two. But I'm the only one to blame. No one else got in trouble.