Channel
@Pediatric_ICU_Secrets
On this record: Growth · Engagement · Reactions · Posts · Citations · Cite this entry
38subscribers
+6 since we began measuring on 8 August 2026
Risers and fallers across the register · movement among entries of Under 1,000.
| Telegram ID | -1003691916009 |
|---|---|
| Type | Channel |
| Username | @Pediatric_ICU_Secrets |
| Created | Between 1 December 2025 and 20 May 2026 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 11 August 2026 |
| Last confirmed live | 14 September 2026 |
| Measurements held | 7 |
| Confirmed unchanged | 1 time, most recently 14 September 2026 |
| On Telegram | t.me/Pediatric_ICU_Secrets |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 14 Sept 2026, 12:18 | 38 | -1 |
| 6 Sept 2026, 07:38 | 39 | +2 |
| 28 Aug 2026, 17:15 | 37 | +1 |
| 22 Aug 2026, 13:42 | 36 | +1 |
| 16 Aug 2026, 03:56 | 35 | +3 |
| 11 Aug 2026, 02:31 | 32 | no change |
| 8 Aug 2026, 08:33 | 32 | first reading |
20 posts held, back to 20 May 2026 — 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 page of 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 20 posts for this entry, the most recent from 8 August 2026. An engagement rate over an empty window would be a number about nothing.
1 reaction across 1 post, in 1 kind.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| 👍 | 1 | 100.0% |
No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.
Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.
Coverage. Reactions were read on 1 of the 20 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 1 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 20 most recent posts we hold, published 20 May 2026 to 8 August 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
🚨 EPINEPHRINE — ANAPHYLAXIS IM dose: 0.01 mg/kg Using 1 mg/mL (1:1000): 🔥 QUICK FACTOR 0.01 mL/kg IM 🧠 Examples: 10 kg → 0.10 mL 20 kg → 0.20 mL 30 kg → 0.30 mL 40 kg → 0.40 mL 🎯 MEMORIZE: 1 mg/mL → 0.01 mL/kg IM ⚠️ Verify the concentration carefully before administration. 1 mg/mL is NOT the same concentration as 0.1 mg/mL. 🚨 Epinephrine IM is first-line treatment for anaphylaxis. #Pediatrics #DrugDosing #QuickCalcu…
💊 AZITHROMYCIN Concentration: 200 mg/5 mL Example dose: 10 mg/kg/dose 🔥 QUICK FACTOR 0.25 mL/kg/dose 🧠 Easy rule: Weight ÷ 4 = mL Examples: 10 kg → 2.5 mL 15 kg → 3.75 mL 20 kg → 5 mL 🎯 MEMORIZE: 200/5 + 10 mg/kg → 0.25 mL/kg ⚠️ Duration and regimen depend on the indication. #Pediatrics #DrugDosing #QuickCalculation #Dr.Abdulraheem_Aljandaby
💊 IBUPROFEN Concentration: 100 mg/5 mL Dose: 10 mg/kg/dose 🔥 QUICK FACTOR 0.5 mL/kg/dose 🧠 Easy rule: Weight ÷ 2 = mL Examples: 10 kg → 5 mL 15 kg → 7.5 mL 20 kg → 10 mL ⚠️ Avoid/modify according to age, dehydration, renal function, GI bleeding risk, and local prescribing guidance. 🎯 MEMORIZE: 100/5 + 10 mg/kg → 0.5 mL/kg #Pediatrics #DrugDosing #QuickCalculation #Dr.Abdulraheem_Aljandaby
💊 PARACETAMOL Concentration: 120 mg/5 mL Dose: 15 mg/kg/dose 🔥 QUICK FACTOR ≈ 0.625 mL/kg/dose 🧠 Easy bedside rule: Weight × 0.625 = mL Examples: 10 kg → 6.25 mL 12 kg → 7.5 mL 20 kg → 12.5 mL ⚠️ Check maximum daily dose and total acetaminophen exposure. جرعة paracetamol 10-15mg عادي اذا كان الفارق بسيط بين هذه الجرعه من شان حساب بطريقه اسهل Paracetamol 120mg/5ml syrup Weight ÷2=ml يعني طفل وزنه 10kg اعطيه …
ABG Challenge ABG: pH: 7.28 PaCO₂: 58 mmHg HCO₃⁻: 26 mEq/L Step 1: Is there acidemia or alkalemia? pH 7.28 → Acidemia Step 2: What is the primary disorder? PaCO₂ is elevated (58 mmHg) → Respiratory acidosis. HCO₃⁻ is slightly elevated (26 mEq/L) → Minimal renal compensation. Diagnosis: Acute respiratory acidosis (acute hypercapnic respiratory failure). Step 3: Is it acute or chronic? In acute respiratory acidosi…
A 2-year-old (12 kg) presents with septic shock. After 40 mL/kg crystalloid, capillary refill remains 5 seconds, extremities are cold, and BP is normal. What is the next best step? A. Another 40 mL/kg saline B. Start Epinephrine infusion C. Sodium bicarbonate D. Furosemide Answer: B. Start epinephrine infusion (fluid-refractory cold septic shock).
🫁 Mechanical Ventilation Tip High Peak Pressure + Normal Plateau Pressure → Think Airway Resistance Causes: Bronchospasm Secretions ET tube kink Small ET tube High Peak + High Plateau → Think Poor Lung Compliance Causes: ARDS Pulmonary edema Pneumothorax Atelectasis
Drug of the day Epinephrine: Indications: Fluid-refractory cold septic shock Cardiac arrest Anaphylaxis Severe asthma Continuous infusion Start: 0.05–0.1 mcg/kg/min Titrate according to perfusion. Monitor: HR BP Lactate Peripheral perfusion Arrhythmias
🔴 Septic shock Recognition is more important than the diagnosis. Signs: Altered mental status Tachycardia Delayed capillary refill (>3 sec) or flash refill Weak or bounding pulses Oliguria (<1 mL/kg/hr) Hypotension = late sign Initial management (First Hour): ✅ High-flow oxygen ✅ IV/IO access ✅ Blood cultures (if no delay) ✅ Broad-spectrum antibiotics within 1 hour ✅ 10–20 mL/kg isotonic crystalloid boluses with r…
Easy and Fast practical fluid management for DKA👍
👍1
GOLD PRACTICAL PEARLS 🔥 ⭐ Noradrenaline Start early in septic shock Target MAP ≥ 65 Prefer central line ⭐ Dobutamine Best for low EF Can drop BP → combine with noradrenaline ⭐ Adrenaline Raises lactate (MCQ trap ≠ worsening shock) Causes tachycardia + hyperglycemia ⭐ Dopamine Outdated in guidelines (except bradycardia cases) High risk arrhythmia
🫡Important notes of severe acute malnutrition: The child is not dehydrated until proven otherwise Shock in SAM = NOT septic shock protocol instead 30ml/kg give 15ml/kg Liver enlargement = fluid overload until proven otherwise hepatomegaly + tachypnea after fluids = early pulmonary edema Hypoglycemia is ALWAYS assumed, treatment empirically F-75 is a “drug”, not milk, even 10–15% increase can kill (heart failure…
Showing the 12 most recent of 20 posts we hold for @Pediatric_ICU_Secrets. 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.
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.
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 14 September 2026 — this entry's latest reading, not the date you are reading this.
“Pediatric ICU Secrets” (@Pediatric_ICU_Secrets), 38 subscribers as measured 14 September 2026. Telegram Register, tgregister.com/channel/Pediatric_ICU_Secrets.
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.