8 May 2026, 21:41 UTC484 viewsread 8 August 2026
🔺.
Signed Mariam Tariq 🦋
Channel
Approach to || R.D.
@ApproachSOMS
On this record: Growth · Engagement · Posts · Polls · Citations · Cite this entry
653subscribers
-2 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of Under 1,000.
Register entry
| Telegram ID | -1003038182876 |
|---|---|
| Type | Channel |
| Username | @ApproachSOMS |
| Created | Between 1 August 2025 and 31 October 2025— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 8 August 2026 |
| Last confirmed live | 22 August 2026 |
| Measurements held | 3 |
| Confirmed unchanged | 1 time, most recently 22 August 2026 |
| On Telegram | t.me/ApproachSOMS |
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 22 Aug 2026, 19:35 | 653 | -2 |
| 8 Aug 2026, 02:45 | 655 | no change |
| 7 Aug 2026, 18:02 | 655 | first reading |
Engagement
19 posts held, back to 5 December 2025 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 1 pageof Telegram’s post history, 20 posts per page.
Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 19 posts for this entry, the most recent from 8 May 2026. An engagement rate over an empty window would be a number about nothing.
Recent posts
8 May 2026, 21:40 UTC550 viewsread 8 August 2026
⚪️ Vomiting patient ABC → Stabilize → Rule out red flags → History + Exam → Labs/imaging → IV fluids + antiemetic → Treat cause → Admit vs discharge .. 🔴 Red flags : -Severe abdominal pain -Chest pain -Altered mental status -Hematemesis , coffee-ground vomiting -Bilious vomiting -Feculent vomiting -Neck stiffness -Severe dehydration -Hypotension/shock -Pregnancy + severe vomiting -Headache , neurological signs -Pe…
Signed Mariam Tariq 🦋
8 May 2026, 21:39 UTC≈2,000 viewsread 8 August 2026
⚪️Approach to acute vomiting .. من يجي مريض للطوارىء ويكول عنده تقيء اول شي تشوف عمر المريض شنو يعني الي عمره ١٦ مو مثل العمره ٥٠لو ٦٠ بعدين تشوف شكد صارله؟ ساعة ساعتين؟ يوم يومين؟ اقل الاسبوع؟ اعتبره acute بعدها أسال اسئلة تعرفني بالتشخيص الي هي -pattern of vomiting -character -associated symptoms -PMH , PSH , drug history, social hx ▫️اول شي pattern of vomiting يعني مثلا يكول اتقيء بس الصبح هنا يخليني اشك بشغ…
Signed Mariam Tariq 🦋
8 May 2026, 21:39 UTC403 viewsread 8 August 2026
Photo
Photo, posted without a caption
Signed Mariam Tariq 🦋
8 May 2026, 21:39 UTC≈1,530 viewsread 8 August 2026
7 - approach to vomiting ..
Signed Mariam Tariq 🦋
6 Dec 2025, 12:43 UTC≈1,040 viewsread 8 August 2026
🔺.
Signed Mariam Tariq 🦋
6 Dec 2025, 12:42 UTC≈1,050 viewsread 8 August 2026
Photo
📌 Keep in your Mind : 🔺 اهم ملاحظة .
Signed Mariam Tariq 🦋
6 Dec 2025, 12:41 UTC≈1,010 viewsread 8 August 2026
Forwarded from @SOMSResidentPoll
A 10 year old boy presents to his GP with a nose bleed. The bleeding started 1 hour ago and has not stopped. He is haemodynamically stable. What is the SINGLE most appropriate next course of action?
- A. Press the base of the nose20%
- B. Press the soft parts of the nose44%
- C. Ice packs and lean backwards10%
- D. Start oral tranexamic acid12%
- E. Send to A&E13%
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
Signed Mariam Tariq 🦋
6 Dec 2025, 12:41 UTC783 viewsread 8 August 2026
File
🔻 الفيديو ضايفته بالبلي ليست : https://youtube.com/playlist?list=PLOp8gePxX0-Qrgm64UZcK0PdNPF7mUxrH&si=lNS3GZ3tK9rmAwyo
Signed Mariam Tariq 🦋
6 Dec 2025, 12:41 UTC668 viewsread 8 August 2026
Photo
Photo, posted without a caption
Signed Mariam Tariq 🦋
6 Dec 2025, 12:41 UTC698 viewsread 8 August 2026
Photo
Cycklokaprone
Signed Mariam Tariq 🦋
6 Dec 2025, 12:41 UTC771 viewsread 8 August 2026
🔰Initial Assessment : 📍Vital Signs: Check BP / HR / general appearance. 🔹Hx : - Duration and frequency of the nosebleed. - Previous episodes and treatments. - Use of anticoagulants or antiplatelet agents. - Any history of bleeding disorders. - Recent trauma or nasal procedures. - Associated symptoms (e.g., headache, dizziness). 🔹Ex: - Inspect the nasal passages - Check for signs of blood …
Signed Mariam Tariq 🦋
Showing the 12 most recent of 19 posts we hold for @ApproachSOMS. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
Polls
The poll we hold for this entry, as Telegram rendered it when we read the post. A poll’s figures keep moving after that, so each one is dated.
6 Dec 2025, 12:41 UTCAnonymous Quiz171 voters
A 10 year old boy presents to his GP with a nose bleed. The bleeding started 1 hour ago and has not stopped. He is haemodynamically stable. What is the SINGLE most appropriate next course of action?
- A. Press the base of the nose20%
- B. Press the soft parts of the nose44%
- C. Ice packs and lean backwards10%
- D. Start oral tranexamic acid12%
- E. Send to A&E13%
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
Percentages only — there are no per-option vote counts here, because Telegram publishes none.The public post preview gives each option’s share and a single voter total, and nothing else. Multiplying one by the other would produce a per-option tally that looks measured and is not: the shares are rounded to whole numbers before we ever see them. We print what was published and leave the column that does not exist empty.
The shares need not add up to 100.Rounding alone puts many polls at 99 or 101. A poll that allows more than one answer per voter runs well past 100 by design, and several here do. The bars are drawn against a fixed 100% track at each option’s own percentage rather than normalised to the total, so a poll that exceeds it shows that it does instead of being quietly rescaled.
Read from the 19 most recent posts we hold, published 5 December 2025 to 8 May 2026. Telegram labels each poll by kind — an anonymous poll, a quiz, a closed set of final results — and that label is reproduced rather than paraphrased.
Citation-graph rank
Citation-graph rank — 1,111,913 of 1,585,381entries in the measured graph. A weighted position computed from the forward and mention edges below — republished posts weigh more than named mentions — and recomputed periodically, over the whole graph. Published only as this ordinal position, never as a score: a position is a fact, and a score printed beside one channel’s name would read as a verdict this register does not make. The two counts beneath stay separate for the same reason mentions are never summed with forwards anywhere else on this page — a named-by count costs nothing to manufacture. The top 100 by this measure, or how it is computed.
Forward network
Republishes
Channels on the register whose posts this channel has forwarded.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
Mentions
Named by 1 registered channel — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
Cite this entry
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 22 August 2026 — this entry's latest reading, not the date you are reading this.
“Approach to || R.D.” (@ApproachSOMS), 653 subscribers as measured 22 August 2026. Telegram Register, tgregister.com/channel/ApproachSOMS.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.