i've never lived in detroit and don't know much about henry ford macomb hospital. i will tell you that generally, sicu gets a lot of trauma patients. the type of trauma depends upon your community. in madison, wisconsin we got a lot of farming accidents and motor vehicle crashes; in boston we got stabbing and shooting victims as well as motor vehicle crashes. in detroit, i'm sure you'd see a lot of victims of violence. you will also get abdominal surgery and probably vascular patients as well. so you might have an aortic anuerysm patient one day and a gang banger with a gunshot wound the next.
in this economy, which job you take will depend a lot upon which job you are offered. if you are fortunate enough to have your choice, think about which interests you more -- the brain? surgery? trauma? i know people who absolutely love neuro -- personally, i'd rather work in a glorified (or otherwise) pacu. whichever job you take, you should plan on staying at least two years. and if you're thinking of anesthesia school, sicu is probably a better choice.
good luck with your interviews!