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Channel

Surgical notes

@batch34notes

On this record: Growth · Engagement · Posts · Citations · Cite this entry

1,533subscribers

-3 since we began measuring on 6 August 2026

Risers and fallers across the register · movement among entries of 1,000–3,162.

Register entry

Telegram ID-1001464311004
TypeChannel
Username@batch34notes
CreatedBetween 1 April 2019 and 31 August 2021— estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded6 August 2026
Last confirmed live13 August 2026
Measurements held3
Confirmed unchanged2 times, most recently 13 August 2026
On Telegramt.me/batch34notes

Growth

1,5331,5361,534.56 August 2026 — 1,536 subscribers6 August 2026 — 1,536 subscribers10 August 2026 — 1,533 subscribers6 August 202610 August 2026
3 measurements spanning 3 days, net -3. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 1,533–1,536 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)SubscribersChange
10 Aug 2026, 03:111,533-3
6 Aug 2026, 23:151,536no change
6 Aug 2026, 23:061,536first reading

Engagement

20 posts held, back to 19 January 2026the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 2 pagesof Telegram’s post history, 20 posts per page.

ERR · 30 days
9.48%
avg views ÷ 1,533 subscribers
Avg views / post
145
11 posts measured
Reaction rate
this channel exposes no reaction counts
Posts in window
11
of 20 held

ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.

ER is defined industry-wide as (forwards + reactions + comments) ÷ views— note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate.

What these figures were computed from
WindowRolling 30 days · latest post in window 21 July 2026
Posts held20 (19 January 202621 July 2026)
Views total1,598
Reactions total
Forwards / commentsnot exposed by the public surface — not measured, not estimated
Readings taken7 Aug 2026, 18:08 UTC

Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.

Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.

Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.

Recent posts

21 Jul 2026, 15:41 UTC191 viewsread 7 August 2026

Enhanced Recovery After Surgery (ERAS) هو برنامج متكامل يهدف إلى تسريع تعافي المريض بعد الجراحة وتقليل المضاعفات ومدة الإقامة في المستشفى، مع الحفاظ على سلامة المريض. الفائدة الرئيسية: يقلل من المضاعفات العامة (Overall complications). يقلل مدة البقاء في المستشفى. يسرّع العودة للنشاط الطبيعي. لا يغيّر بشكل واضح معدل المضاعفات الجراحية نفسها (مثل تسرب المفاغرة أو النزيف) أو معدل الوفيات. A. التحضير قبل العملية (Preoper

21 Jul 2026, 15:11 UTC117 viewsread 7 August 2026

Resuscitative Thoracotomy (Emergency Department Thoracotomy) – باختصار هو فتح الصدر بشكل إسعافي لإنقاذ مريض توقف قلبه أو أوشك على التوقف بعد إصابة شديدة. متى تكون فائدته أكبر؟ أفضل النتائج تكون إذا كان المريض لديه: Signs of Life (SOL) موجودة. Penetrating trauma (إصابة نافذة) أكثر من Blunt trauma. إصابة في الصدر أكثر من البطن. إصابة منفردة وليست متعددة. بدون إصابة دماغية. مدة CPR قصيرة. Stab wound أفضل من Gunshot woun

21 Jul 2026, 15:06 UTC86 viewsread 7 August 2026

في إصابات الأوعية الدموية (Vascular trauma)، تُقسم العلامات إلى Hard signs و Soft signs لأنها تحدد الحاجة إلى التدخل الجراحي أو الفحوصات الإضافية. Hard signs (علامات مؤكدة لإصابة وعائية كبيرة) وجود أي منها يعني غالبًا الذهاب مباشرة إلى غرفة العمليات (إذا لم يكن هناك مانع)، دون تأخير لإجراء CTA. Pulsatile bleeding (نزيف نابض). Expanding hematoma (ورم دموي يزداد حجمه بسرعة). Absent distal pulses (غياب النبض البعيد

21 Jul 2026, 14:45 UTC104 viewsread 7 August 2026

Blast Injuries Classification تنقسم إصابات الانفجار إلى 4 أنواع حسب الآلية. 1. Primary Blast Injury (الصدمة الانفجارية نفسها) ⭐⭐⭐ السبب: ناتجة عن Blast wave (Shock wave). تؤثر أكثر على الأعضاء المملوءة بالهواء (Hollow air-containing organs). أكثر الأعضاء إصابة: 👂 Tympanic membrane Perforation (ثقب الطبلة). أول علامة تدل على انفجار شديد. معظمها يلتئم تلقائيًا. 🫁 Lung (Blast lung) ⭐ أهم إصابة أخطر مؤشر لل

21 Jul 2026, 14:44 UTC104 viewsread 7 August 2026

Indication of transfer of the patient to burn center : (1) second-or third-degree burns greater than 20% TBSA in patients age 10 to 50 years old; (2) second- or third-degree burns greater than 10% TBSA in patients younger than 10 years or older than 50 years; (3) third-degree burns greater than 5% TBSA in any age; (4) any second- or third-degree burn to hands, feet, face, eyes, genitalia, perineum, or skin over m

15 Jul 2026, 12:22 UTC181 viewsread 7 August 2026

BISAP Score (Bedside Index for Severity in Acute Pancreatitis) The BISAP score is a simple bedside tool used within the first 24 hours of admission to predict the risk of severe acute pancreatitis and mortality. BISAP Criteria (1 point each) B – BUN >25 mg/dL (8.9 mmol/L) I – Impaired mental status Glasgow Coma Scale (GCS) <15 S – SIRS (Systemic Inflammatory Response Syndrome) Presence of ≥2 of the following:

15 Jul 2026, 12:20 UTC155 viewsread 7 August 2026

Ranson Criteria for Acute Pancreatitis Ranson's criteria are used to predict the severity and mortality risk of acute pancreatitis. They include 11 parameters: 5 assessed at admission and 6 assessed during the first 48 hours. At Admission Within the First 48 Hours Interpretation 0–2 criteria: Mild pancreatitis (mortality <5%) 3–4 criteria: Moderate disease (mortality ≈15–20%) 5–6 criteria: Severe disease (mort

14 Jul 2026, 07:44 UTC207 viewsread 7 August 2026

Physiological Esophageal Motility — Detailed Explanation Esophageal Motility is the coordinated muscular activity that transports food from the pharynx to the stomach. 1. Initiation of swallowing Swallowing begins voluntarily in the mouth. Once the food bolus reaches the pharynx, swallowing becomes an involuntary reflex controlled by the swallowing center in the medulla. At this stage: The upper esophageal sphin

8 Jul 2026, 19:56 UTC268 viewsread 7 August 2026
Photo

The Forrest classification of bleeding peptic ulcer ...

Showing the 12 most recent of 20 posts we hold for @batch34notes. 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.

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.

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 10 August 2026 — this entry's latest reading, not the date you are reading this.

“Surgical notes” (@batch34notes), 1,533 subscribers as measured 10 August 2026. Telegram Register, tgregister.com/channel/batch34notes.

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.