Interesting. I shot a cow a few weekends ago, and learned a lesson. I am a big believer in the good old fashioned behind the shoulder shot, through the lungs. For whatever reason, I got a wild hair and decided to try a high shoulder shot on this cow.
Distance was 531 yards, no wind. 6.5 PRC with the 124 HH traveling at 3030 fps. I squeezed off the shot and literally watched the bullet cover my crosshairs, hit exactly where I was aiming. The cow sort of lurched forward, then just stood there locked up for about 10 seconds. I have seen similar results with lung hits, and usually they fall over pretty dang quick. After about 20 seconds she laid down with her head up. She was behind some sage and I didn't really have a good follow up shot. I had to walk up there and put a finishing shot into her, wasn't ideal.
Upon examination, the bullet entered the high shoulder, about 8 inches below the spine. There was a tiny exit of something on the far side. The bullet traveled perfectly transverse through the elk, but there was no spine shock or anything to drop it. Lesson learned. From here on out, I am always sticking with right behind the shoulder, through ribs and lungs. Meat damage was minimal, but I still lost a little. I have shot quite a few critters with the hammers, and appreciated the minimal meat loss on them, but realized that all bullets have limitations, and my shot placement was poor.