Similar to a brainer when smoking a joint, you put a joint in your ass and fart a nasty brainer into another person's mouth. That person will be on their knees accepting the brainer, in a praying position. While pinching the joint in the ass, it's guaranteed to make a high pitched horn sound. Hence, a Holy Trumpet.
She blew the nastiest HolyTrumpet the other night. Knocked me on my ass so hard I got religious for a minute.
Vegas - A modifier that's tacked on to the end of a town or city, usually replacing the term "ville" that the denizens sarcastically use to give their village the appearance of being hip and/or happening.
Joe: Where you headed this weekend?
Schmoe: Nonstop excitement. Im off to Nashvegas or Knoxvegas.