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Abdominal pain with Chris Zaczek

Abdominal pain can be a benign case of indigestion, or immediately life-threatening, such as a ruptured abdominal aortic aneurysm

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California Ambulance Association

Complaints of abdominal pain are extremely common in EMS, yet each case needs to be taken seriously as the cause can range from the most benign, like indigestion, to the immediately life-threatening, such as a ruptured abdominal aortic aneurysm.

Join us as we discuss this topic and hear a few stories from the field from our special guest, American Ambulance Paramedic Supervisor Chris Zaczek.


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Looking for some fun EMS education? Hosted by American Ambulance’s Medical Director, Dr. Danielle Campagne, along with her UCSF-Fresno colleagues, Drs. Patil Armenian and Saajan Bhakta, discuss practical, pertinent and evidence-based topics that you can use today to take care of your community. They also bring in guests from all parts of the EMS world to highlight the heroes among us, and share their unique take on challenging situations. Join us, let’s learn together and thrive.

Danielle Campagne, MD, FACEP, is a board-certified emergency medicine physician. She was an honors student at Fresno State and received her bachelor’s degree in Biology. She received her medical degree from USC School of Medicine and completed her residency in Emergency Medicine at UCSF-Fresno. Dr. Campagne is an associate professor of clinical emergency medicine at UCSF and works at Community Regional Medical Center in Fresno, California. She currently serves as vice chief of emergency medicine at UCSF Fresno. She has spoken internationally on orthopedic topics in emergency medicine in places such as the Netherlands, Italy, Spain and Vietnam. She has spoken nationally at the American College of Emergency Physicians Scientific Assembly and the Society of Emergency Medicine PAs. She has published on a wide range of EMS/wilderness, medical education and orthopedic topics. She is the co-editor for Oxford Press’s Emergency Medicine Board Review textbook and also serves as the associate editor for the orthopedics section in EM:RAPs ComPendium textbook. Dr. Campagne is also active in EMS and currently serves as medical director for American Ambulance in Fresno, and serves as the course chair for the UCSF High Sierra Wilderness and Travel Medicine Conference.

Patil Armenian, MD, FACEP, is a board-certified physician in Emergency Medicine and Medical Toxicology. She received her B.S. with honors in physiological science and classical civilization from UCLA and her medical degree from the Boston University School of Medicine. Her residency in Emergency Medicine was completed at UCSF Fresno where she served as chief resident in her final year. She completed a Medical Toxicology fellowship at UCSF in San Francisco. She is an associate professor of clinical emergency medicine at UCSF and works at Community Regional Medical Center in Fresno as a staff physician and co-director of Medical Toxicology.

Dr. Armenian’s primary focus is in identification of drug intoxication outbreaks, including novel drugs of abuse, such as fentanyl analogs. Additional areas of expertise include prehospital care of poisoned patients, 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, which accepts transfers from all of Central California. In addition to clinical duties, Dr. Armenian also does expert witness and peer review work in medical toxicology and emergency medicine, works closely with local law enforcement on illicit drug outbreaks, and has a strong interest in prehospital emergency medicine.

Saajan Bhakta, DO, is currently an Emergency Medicine resident at UCSF Fresno. He obtained his Bachelor’s of Science degree with Honors from UC San Diego, majoring in Biochemistry and minoring in Music. He then attended medical school at Western University of Health Sciences. In medical school, he was privileged to be a part of the Sigma Sigma Pi honors society and graduated on the Dean’s List. He served as a volunteer for several organizations, including local free clinics as well as large community-wide projects such as Care Harbor LA. Dr. Bhakta traveled to Nepal shortly after a devastating earthquake, providing disaster relief and prehospital medical care to those most affected. During residency at UCSF-Fresno, he has been involved with medical student and resident teaching, as well as Park Medic training. Through these experiences, he has garnered an appreciation and excitement for emergency medical services, and hopes to continue advancement in the field through education.

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