Picture Quiz: Werewolf by Night
I may pick on modern comics for bad examples of medicine, but comics of the so-called Bronze Age were just as bad, if not worse. Just take a look at this penultimate panel from the operating room scene in Werewolf by Night #32 (August 1975)*:

What’s wrong with this scene?
(To set it up: During surgery to repair wounds inflicted by “a wild animal,” the patient’s heart has stopped and the doctor has the team wheel out the defibrillator, or as they call it: the Cardiovascular Shock Unit.)
Ignoring the “shocking-a-flatline” error, I count three fairly significant mistakes (OK, one’s more of a nitpick).
And the “not-wearing-eye-protection” was normal at this time as OSHA would not make protective eye protection mandatory for several more years.
*Fair game for my criticism because it was reprinted in a recent issue of Moon Knight.
September 4th, 2008 at 12:58 am
Does the doc have the paddles positioned correctly? I thought they were supposed to be further apart. Also, why would he start with “maximum voltage” (whatever that is)?
September 4th, 2008 at 1:23 am
Dude! R2D2 is in the background!
And.. *squint* are cork-screws standard operating room equipment? o.O
September 4th, 2008 at 1:42 am
First, no-one should be touching the patient when they shock him. The person standing behind the patient’s head will get a nasty shock! Second, rabrab’s point- they probably shouldn’t start at max voltage. Third, as far as I know, R2-D2 (visible in the top right corner) has no medical training, and shouldn’t be present in the operating room.
September 4th, 2008 at 2:09 am
I thought they were supposed to be in the middle of a surgery to repair wounds inflicted by some animal? Doesn’t that normally involve, oh, I don’t know, blood? Some openings in the skin? Anesthesia? If the wounds are so minor as to the patient looking that intact, wouldn’t the patch-up have been done by a med student needing to practice his stitches? Or maybe just some steristrips? What sort of animal was it? A were-gerbil?
And, I know I’m just plain picky about the sort of treatment I receive from my health care providers, but I’d really prefer if my surgical team wasn’t working in the dark.
September 4th, 2008 at 2:31 am
Aren’t those surgical instruments in the wrong place? Shouldn’t they be, you know, closer to the surgeon? Having to hand them the length of the patient cannot be efficient.
And those don’t look like any defibrillator paddles I’ve ever seen. Shouldn’t they be bigger than that?
September 4th, 2008 at 5:41 am
Besides the fact there are 2 guys holding the pacient and that will get a nasty shock, the instruments specially the scalpels shouldn’t be placed over the pacient’s legs where they could be kicked due to the muscular contractions caused by the defribilation (if the movies depict it right since i’m not a doctor). 3rd one isn’t the defibrilator graduated in Joules, which is an energy scale, and not in volts, which is the unit for voltage? They are proportional but not the same, as the energy applied will limit the current that flows across the heart of the patient.
September 4th, 2008 at 6:20 am
Why is the operating theater so dark? Is the surgeon Doctor Mid-Nite?
It also seems weird to me that the surgical gloves are exactly the same color as the gowns, which are the same color as the masks. Surely they’re all made of different materials? And why is the person operating the defibrillator wearing the mask and gloves? I thought that this would be an unscrubbed person, since after touching this equipment (which surely can’t be autoclaved) he’s going to have to scrub again. I suppose in an emergency, of course, to save the patient’s life he would do what he had to.
September 4th, 2008 at 7:46 am
OR technology is never purple. Purple is reserved for the morgue.
September 4th, 2008 at 7:55 am
Okay, I got paddles in the wrong spot, people touching someone who is about to get hit with electricity (thus shocking them too)… my third is iffy… defibrulator settings are in Joules (a unit of work), not volts (a unit of electric potential)… of course, I’m not a doctor.
September 4th, 2008 at 10:59 am
Isn’t he using the internal ’spoons’ used for direct heart stimulation, instead of the pads used outside of the body? Or is this just an artifact of the times?
September 4th, 2008 at 1:59 pm
This looks similar to a previous situation. If the flatline’s caused by excessive bleeding (from an invisible wound, apparently), there should also be some concern about stopping that bleeding, instead of just grabbing the paddles.
September 4th, 2008 at 2:00 pm
It is not supposed to be voltage. It should be wattage, or better yet, p8nage!.
September 4th, 2008 at 2:48 pm
1. Those do not look like defibrillator paddles to me.
2. If it’s necessary to hold the patient down during defibrillation, wouldn’t it be better to have straps or something on the table? If it’s not necessary, why are two doctors leaning on his shoulders and left wrist?
3. WHY THE HELL ARE THEY OPERATING IN THE DARK
September 4th, 2008 at 4:56 pm
These guys make Kutner look like the professional Defibrilist that House claimed he was once.
September 5th, 2008 at 4:27 pm
Looks to me like the doctor is trying to administer a shock with two stethescopes. I think this was a brief comedy routine the doc indulges in to break the tension before starting work on the animal wounds. “Hey, doc, let’s see that defibrillator gag again! That cracks me up every time!” Which might explain the corkscrew, too.
Oh, and I believe there’s a also protractor among the surgical instruments. Probably somebody needs to finish geometry homework after surgery.
September 6th, 2008 at 3:50 am
I really wish the good doctor would post definitive answers to these picture quizzes! The “voltage” problem makes sense to me, and I feel sympathetic pain for those poor b*stards who are about to get shocked because they’re clutching the patient. But what is the third error?
And if that’s really R2-D2, this should be tagged as a FIRST APPEARANCE, since his movie didn’t debut for another couple of years.
September 6th, 2008 at 10:54 pm
Official Comment
ANSWERS:
1. They are using what appears to be internal defibrillator paddles and not the required external paddles.
2. By the 1970s, defibrillators had switched over to Joules instead of Volts.
3. A few surgical assistants are going to be in for a rude shock shortly.
Other good points:
* I don’t know why the lights are out.
* That object in the upper right sure made me think “R2D2″ too.
September 17th, 2008 at 9:18 pm
Well looks to me like they are all completely unsterile and the obvious fact is that they are about to be shocked. Oh yeah, and there’s no anes. being administered!
June 26th, 2009 at 10:12 am
there using the defibulator in the wrong place there using it on the left and its sopossed to be on the right side
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