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Patil Armenian

Title(s)Associate Professor, Emergency Medicine
SchoolSchool of Medicine
Address155 N Fresno St
Fresno CA 93701
Phone559-499-6440
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    Patil Armenian, MD
    Associate Professor of Clinical Emergency Medicine, UCSF
    Co-Director of Medical Toxicology, UCSF Fresno


    Patil Armenian, M.D., is board certified in Emergency Medicine and Medical Toxicology. She completed her medical degree at the Boston University School of Medicine. Her residency in Emergency Medicine was completed at University of California, San Francisco, Fresno where she served as Chief Resident in her final year. She completed a Medical Toxicology fellowship at the University of California, San Francisco.

    Dr. Armenian's primary focus is in identification of drug intoxication outbreaks, including novel drugs of abuse such as fentanyl analogs, novel synthetic opioids, phenethylamines, synthetic cannabinoids and synthetic cathinones. Additional areas of expertise include stimulant drug use and traumatic injury patterns and MDMA intoxication and treatment. She helped start the successful inpatient toxicology practice at Community Regional Medical Center in Fresno, CA which accepts transfers from all of Central California. In addition to clinical duties, Dr. Armenian also does expert witness and peer review work in toxicology.

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    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Two Decades of Ecstasy: Shifting Demographic Trends in Decedents using MDMA. J Anal Toxicol. 2020 Dec 11. Armenian P, Rodda LN. PMID: 33305792.
      View in: PubMed   Mentions:    Fields:    
    2. Notes from the Field: Unintentional Fentanyl Overdoses Among Persons Who Thought They Were Snorting Cocaine - Fresno, California, January 7, 2019. MMWR Morb Mortal Wkly Rep. 2019 08 09; 68(31):687-688. Armenian P, Whitman JD, Badea A, Johnson W, Drake C, Dhillon SS, Rivera M, Brandehoff N, Lynch KL. PMID: 31393864.
      View in: PubMed   Mentions: 2     Fields:    
    3. Pharmacist dispensed naloxone: Knowledge, availability, participation and cost in selected California counties. Int J Drug Policy. 2019 09; 71:113-117. Darracq MA, Lee J, Wilson T, Lasoff D, Armenian P. PMID: 31301549.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    4. Surface internet marketplace presence and availability of NPS sold as research chemicals: a snapshot study. Toxicology Communications. 2019 Jan 1; 3(1):67-74. Stephen L. Thornton, Michael A. Darracq, Hallam M. Gugelmann, Patil Armenian. .
      View in: Publisher Site   Mentions:
    5. Stimulant drugs are associated with violent and penetrating trauma. Am J Emerg Med. 2019 04; 37(4):645-650. Armenian P, Effron Z, Garbi N, Dirks R, Benowitz NL, Gerona RR. PMID: 30914133.
      View in: PubMed   Mentions:    Fields:    Translation:HumansPHPublic Health
    6. Narcan or Nar-can't: Tips and Tricks to Safely Reversing Opioid Toxicity. Ann Emerg Med. 2018 07; 72(1):9-11. Li K, Armenian P, Mason J, Grock A. PMID: 29929656.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    7. Medical toxicology education in US emergency medicine residencies. Am J Emerg Med. 2018 10; 36(10):1919-1921. Darracq MA, Armenian P, Comes J, Thornton S. PMID: 29530357.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    8. Beware the Danger Lurking Under the Shroud of Alcohol. Ann Emerg Med. 2018 03; 71(3):289-291. Sheehy M, Armenian P, Mason J, Grock A. PMID: 29458796.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    9. Fentanyl, fentanyl analogs and novel synthetic opioids: A comprehensive review. Neuropharmacology. 2018 05 15; 134(Pt A):121-132. Armenian P, Vo KT, Barr-Walker J, Lynch KL. PMID: 29042317.
      View in: PubMed   Mentions: 45     Fields:    Translation:HumansAnimals
    10. Intoxication from the novel synthetic cannabinoids AB-PINACA and ADB-PINACA: A case series and review of the literature. Neuropharmacology. 2018 05 15; 134(Pt A):82-91. Armenian P, Darracq M, Gevorkyan J, Clark S, Kaye B, Brandehoff NP. PMID: 29037744.
      View in: PubMed   Mentions: 6     Fields:    Translation:HumansCells
    11. Backyard Pool Party: Not Your Typical Sunburn. Pediatr Emerg Care. 2017 Jun; 33(6):440-442. Darracq MA, Heppner J, Lee H, Armenian P. PMID: 28570364.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    12. A cross-sectional emergency department survey of novel psychoactive substance prevalence. Am J Emerg Med. 2017 Oct; 35(10):1580. Fockele C, Armenian P. PMID: 28549581.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    13. Unintentional Pediatric Cocaine Exposures Result in Worse Outcomes than Other Unintentional Pediatric Poisonings. J Emerg Med. 2017 Jun; 52(6):825-832. Armenian P, Fleurat M, Mittendorf G, Olson KR. PMID: 28408236.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    14. Ketamine as a first-line treatment for severely agitated emergency department patients. Am J Emerg Med. 2017 Jul; 35(7):1000-1004. Riddell J, Tran A, Bengiamin R, Hendey GW, Armenian P. PMID: 28237385.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    15. Hot and Cold Drugs: National Park Service Medication Stability at the Extremes of Temperature. Prehosp Emerg Care. 2017 May-Jun; 21(3):378-385. Armenian P, Campagne D, Stroh G, Ives Tallman C, Zeng WZD, Lin T, Gerona RR. PMID: 28059581.
      View in: PubMed   Mentions:    Fields:    
    16. Critical Illness Associated With Methamphetamine Exposure in the Central Valley of California (CRIME). CHEST Journal. 2016 Oct 1; 150(4):333a. Pradeep Doddamreddy, Jakhangirkhodja Tulyagankhodjaev, Crystal Ives, Patil Armenian, Rais Vohra, Vijay Balasubramanian. .
      View in: Publisher Site   Mentions:
    17. 338 Hot and Cold Drugs: National Park Service Medication Stability at the Extremes of Temperature. Annals of Emergency Medicine. 2016 Oct 1; 68(4):s129. P. Armenian, R.R. Gerona, C. Ives-Tallman, W.Z.D. Zeng, T. Lin, G. Stroh, D.D. Campagne. .
      View in: Publisher Site   Mentions:
    18. Analysis of Gastric Lavage Reported to a Statewide Poison Control System. J Emerg Med. 2016 Oct; 51(4):394-400. Donkor J, Armenian P, Hartman IN, Vohra R. PMID: 27595368.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    19. Fentanyl and a Novel Synthetic Opioid U-47700 Masquerading as Street "Norco" in Central California: A Case Report. Ann Emerg Med. 2017 01; 69(1):87-90. Armenian P, Olson A, Anaya A, Kurtz A, Ruegner R, Gerona RR. PMID: 27473610.
      View in: PubMed   Mentions: 14     Fields:    Translation:Humans
    20. Illicit Distribution of Prescription Drugs: Report of Inadvertent Chloroquine Toxicity and a Market Survey of Businesses Serving Ethnic Minority Populations. Ann Pharmacother. 2014 Aug; 48(8):1070-1076. Grazier MR, Armenian P, Vohra R. PMID: 24842857.
      View in: PubMed   Mentions: 2     Fields:    
    21. The electric Kool-Aid NBOMe test: LC-TOF/MS confirmed 2C-C-NBOMe (25C) intoxication at Burning Man. Am J Emerg Med. 2014 Nov; 32(11):1444.e3-5. Armenian P, Gerona RR. PMID: 24908444.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    22. Pediatric ergot alkaloid exposures reported to the California Poison Control System: 1997-2008. Clin Toxicol (Phila). 2014 Mar; 52(3):214-9. Armenian P, Kearney TE. PMID: 24528175.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    23. The Spotlight That Saw Everything. Academic Emergency Medicine. 2013 Nov 1; 20(11):1211-1211. Patil Armenian. .
      View in: Publisher Site   Mentions:
    24. Finger injury. Emerg Med J. 2014 Apr; 31(4):352. Manternach S, Armenian P. PMID: 23996790.
      View in: PubMed   Mentions:    Fields:    Translation:HumansAnimals
    25. Role of liquid chromatography-high-resolution mass spectrometry (LC-HR/MS) in clinical toxicology. Clin Toxicol (Phila). 2012 Sep; 50(8):733-42. Wu AH, Gerona R, Armenian P, French D, Petrie M, Lynch KL. PMID: 22888997.
      View in: PubMed   Mentions: 15     Fields:    Translation:HumansPHPublic Health
    26. Catecholaminergic polymorphic ventricular tachycardia found in an adolescent after a methylenedioxymethamphetamine and marijuana-induced cardiac arrest. Crit Care Med. 2012 Jul; 40(7):2223-6. Diffley M, Armenian P, Gerona R, Reinhartz O, Avasarala K. PMID: 22584762.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    27. Multiple MDMA (Ecstasy) overdoses at a rave event: a case series. J Intensive Care Med. 2013 Jul-Aug; 28(4):252-8. Armenian P, Mamantov TM, Tsutaoka BT, Gerona RR, Silman EF, Wu AH, Olson KR. PMID: 22640978.
      View in: PubMed   Mentions: 12     Fields:    Translation:Humans
    28. 5-oxoprolinemia causing elevated anion gap metabolic acidosis in the setting of acetaminophen use. J Emerg Med. 2012 Jul; 43(1):54-7. Armenian P, Gerona RR, Blanc PD, Wu AH, Mookherjee S. PMID: 21978879.
      View in: PubMed   Mentions: 7     Fields:    Translation:Humans
    29. Serum verapamil concentrations before and after Intralipid® therapy during treatment of an overdose. Clin Toxicol (Phila). 2011 Apr; 49(4):340-4. French D, Armenian P, Ruan W, Wong A, Drasner K, Olson KR, Wu AH. PMID: 21563913.
      View in: PubMed   Mentions: 14     Fields:    Translation:Humans
    30. Images in emergency medicine. Adult female with rash on lower extremities. Vasculopathic purpura and neutropenia caused by levamisole-contaminated cocaine. Ann Emerg Med. 2011 Mar; 57(3):307, 311. Lung D, Lynch K, Agrawal S, Armenian P, Banh K. PMID: 21353913.
      View in: PubMed   Mentions: 3     Fields:    Translation:HumansPHPublic Health
    31. 48: The Impact of an Intake Model on Patient Care, Resident Education, and Staff Satisfaction at an Academic Emergency Department. Annals of Emergency Medicine. 2010 Sep 1; 56(3):s17. L. Weichenthal, P. Armenian, D. Campgane, B. Snowden, G. Kallsen. .
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    32. Robert S.HoffmanLewis S.NelsonMary AnnHowlandNeal A.LewisNeal E.FlomenbaumLewis R.GoldfrankGoldfrank's Manual of Toxicologic Emergencies2007McGraw-Hill MedicalNew YorkSoft Cover, 1126 pages, $49.95. Journal of Emergency Medicine. 2010 Jun 1; 38(5):699-700. Patil Armenian. .
      View in: Publisher Site   Mentions:
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