A 35 year old man is brought in to your ED by ambulance after being found unconscious by friends the morning after a party which went on for 3 days. He is a fly in fly out worker.On examination he has an obviously swollen left arm, GCS 12 with constricted pupils.

Describe and Interpret

CK 80 000

Urea 20, Creatinine 800

K 7.5