Catwoman #43: A Medical Review

Catwoman #43 “Pest Control”
Andersen Gabrych, writer
Rick Burchett, artist


Scene from Catwoman #43
After Onyx and her gang are savagely attacked by Killer Croc, she comes to Catwoman for help. While recuperating in one of Catwoman’s hideouts, Onyx sews up her own forehead laceration as the picture on the right shows (click on the image for a larger view).

You’ll notice that Onyx is using a straight needle. In the past, I’ve pointed out that a curved needle is the best method of suturing skin lacerations. When I complained about this previously it was because the supposedly state-of-the-art Xavier Institute was using outdated techniques. In this situation, Onyx probably used whatever was on hand so it makes sense that she’d use a straight needle (though it’s a lot harder to sew skin with one than the panel suggests).

Suturing oneself is possible, though moderately difficult – especially when using a mirror. Tying the knots is the hardest part.

The question is whether or not this laceration should be closed at all. Onyx obtained the cut in a fight with Killer Croc, so it’s logical to assume that she was scratched by one of his claws. Now, Killer Croc has never been known for his good hygiene; in fact, until recently he was living in a sewer. The risk of infection from this injury is quite high.

Generally, wounds with a high chance of infection are not sutured shut because this only increases the risk of infection. The rules aren’t hard and fast; there’s a great deal of debate on this topic. Some physicians will close facial wounds because there is good blood flow to the face and so less chance of infection. Other physicians are more cautious about facial wounds because of the close proximity of important structures such as the nose and eyes. The amount of time elapsed since the injury, the extent of crush damage (common with bites) and how well the wound was cleaned are other key points.

If Onyx’s wound was fairly shallow and has been cleaned very well, then suturing it closed is probably safe. On the other hand, if it’s a deep wound or one that hasn’t been cleaned, suturing would be a bad idea.

I suspect it was a shallow wound that she cleaned well then sutured up with whatever material was readily available so it wouldn’t be bleeding during her rematch with Killer Croc.

4 Responses to “ Catwoman #43: A Medical Review ”

  1. And life can be at least as strange as comics. I have a patient in a family of “independent thinkers”, shall we say, all of whom feel strongly that they are safer not wearing seatbelts. Well, several years ago, after cutting his arm, he sewed it up himself with a sewing needle and thread (I think it was pale blue thread).

  2. Scott, I gotta say, if I were a comic book writer, I would email you before writing any kind of medical scene.

    And as for the previous comment, I feel compelled to ask re…
    “safer not wearing seatbelts…”
    How’s that?

  3. I’ve had people saying this before, saying they knew someone (or heard a story about someone)
    who would have been killed (by oncoming train or something) if they had been wearing their
    seatbelt and hadn’t been able to get out of the car quickly. I’ve tried to counter this by pointing out that it’s more likely to get hit by a
    drunk driver than a train, and that the worst cases I saw in my trauma surgery rotation were always people without seatbelts, but it is hard for some people to give up that amount of control. Stupid people.

  4. The logic seems to have something to do with thinking that they would be more in control of things if they were mobile — they don’t seem to understand impact physics, momentum, and bouncing around inside your vehicle like a billiard ball.
    There is also a latching on to the urban-legends-like stories of someone whose life was “saved” by being ejected from their vehicle.

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