Alfred Pennyworth has also provided first aid up to and including suturing wounds and removing bullets, as well as occasional tactical support. He is also able to perform arthroscopy and other advanced medical procedures, thus limiting, if not eliminating, the need for hospital medical treatment even in the face of grievous injuries, helping to maintain Batman's secret identity by ensuring that Bruce Wayne has no need to visit hospitals for wounds inflicted as Batman. Nevertheless, Batman still requires professional medical treatment when Bane breaks his back ("") and Hush's machinations result in his suffering a skull fracture (""). On these occasions, Alfred
Alfred Butler of which he became a fellow in 1927. In 1930, Butler was made an Officer of the Order of St. John in 1930 and promoted to Commander in 1934. As might be expected of an officer of arms, Butler bore a coat of arms. This was blazoned Alfred Butler Alfred Trego Butler MVO, MC, FSA, FASG (8 October 1880 – 22 December 1946) was a genealogist and officer of arms at the College of Arms in London. Alfred Butler was born in 1880 as the second son of Robert Frederick Butler of Lynford Gardens, Hampstead. In 1905, he married Grace