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 in his own right, being appointed Portcullis Pursuivant of Arms in Ordinary in 1926, and promoted to Windsor Herald of Arms in Ordinary in 1931. He was also made the Genealogist of the Order of the Bath in 1930, and Honorary Genealogist of the Royal Victorian Order in 1938. He resigned from both of these offices shortly before his death. He was elected a Fellow of the American Society of Genealogists in 1944. Alfred Butler was also a member of the council of the Harleian and British Record Societies, and of the Croft Lyons committee of the Society of Antiquaries,