14 measurements spanning 14 days, net +4. 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 12,184–12,193 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)
Subscribers
Change
21 Aug 2026, 13:46
12,191
+3
20 Aug 2026, 13:34
12,188
+1
19 Aug 2026, 15:08
12,187
-5
18 Aug 2026, 14:04
12,192
+3
17 Aug 2026, 17:34
12,189
+2
14 Aug 2026, 20:27
12,187
+2
13 Aug 2026, 09:47
12,185
-3
12 Aug 2026, 09:22
12,188
+1
11 Aug 2026, 12:35
12,187
-1
10 Aug 2026, 12:06
12,188
+2
9 Aug 2026, 14:12
12,186
-3
8 Aug 2026, 11:14
12,189
+2
7 Aug 2026, 08:39
12,187
no change
7 Aug 2026, 06:47
12,187
first reading
Engagement
20 posts held, back to 28 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 27 pagesof Telegram’s post history, 20 posts per page.
ERR · 30 days
23.0%
avg views ÷ 12,191 subscribers
Avg views / post
2,800
1 post measured
Reaction rate
1.04%
reactions ÷ views · ER floor
Posts in window
1
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
Window
Rolling 30 days · latest post in window 27 July 2026
Posts held
20 (28 December 2025 – 27 July 2026)
Views total
2,800
Reactions total
29
Forwards / comments
not exposed by the public surface — not measured, not estimated
Readings taken
22 Aug 2026, 14:20 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.
What this channel posts
Photos
100
Videos
6
Links
78
Lifetime counters from Telegram’s own channel header, read 22 August 2026 — not the date at the top of this page, which is when the subscriber count was last read. Below Telegram’s rounding threshold, so these counts are exact.
Reaction mix
890 reactions across 20 posts, in 2 distinct kinds. The most used accounts for 81.1% of them.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
❤
722
81.1%
👍
168
18.9%
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 20 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 890reactions 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 28 December 2025 to 27 July 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.
🔴 معرفی کیس سوم (قسمت اول): «تپش قلب»؛ از اضطراب تا ایست قلبی
👩⚕️ بیمار: خانم ۲۰ ساله، بدون سابقه بیماری زمینهای یا مصرف داروی خاص
🏥 پرزنتیشن در درمانگاه:
با شکایت تپش قلب ناگهانی از حدود ۲ ساعت قبل مراجعه کرده است. بیمار مضطرب و آژیته به نظر میرسد.
💬 شرح حال:
بیمار بیان میکند:
«تپش قلبم یهو وسط کار شروع شد. احساس میکنم قلبم توی دهنم میزنه. یک مقدار هم تنگی نفس دارم، ولی درد قفسه سینه ندارم.»
همراه بیمار…
🔰 همونطور که گفتم برای خیلی از پزشکا اینطوری هست که حاضرن ده تا بیمار MI ویزیت کنند ولی یدونه مریض سرگیجه رو نبینند .
علتش هم همین ابهام و تردید هایی هست که توی روند تشخیص و مدیریتش هست
▪️ با استفاده از این اسکور میتونید این تردید هارو تا حد زیادی برطرف کنید و با یه اصول علمی جلو برید .
اگر روی چند تا بیمار امتحان کنید دستتون میاد کامل.
توضیحات TriAGe+ score
🔴 معمای سرگیجه در درمانگاه؛ فراتر از حدس و گمانهای بالینی
❗️⚠️ هدف از پست های مربوطه به سرگیجه اشاره به مشکلاتی هست که در مدیریت این بیماران در بالین وجود دارد .
▪️از یک طرف در اکثر بیماران سرگیجه با یک سری علائم دراماتیک روبرو هستیم
▪️ از لحاظ کتابی هم رفرنس توصیه به انجام تست ها و معایناتی کرده که با توجه به شرایط در درمانگاه و اورژانس شلوغ عملی نیست .
و همه این ها درنهایت باعث افزایش تردید در تشخیص و مدیریت ا…
🔴 معرفی کیس دوم — قسمت دوم
🚹 بیمار بعد از دریافت دارو و سرم، از نظر تهوع و بیقراری کمی بهتر میشود و با تشخیص احتمالی سرگیجه محیطی، با توصیههای دارویی ترخیص میگردد.
❗️اما علائم بیمار در منزل کامل برطرف نمیشود.
🔰 چند ساعت بعد، همراه بیمار متوجه میشود که بیمار هنوز تعادل مناسبی ندارد، با بلند شدن مجدد دچار سرگیجه شدید میشود و راه رفتنش همچنان مطمئن نیست.
به همین دلیل بیمار به اورژانس بیمارستان مراجعه میکند.
…
🔴 معرفی کیس دوم (قسمت اول) :
👩⚕️ خانم ۵۴ ساله، بدون سابقهی بیماری قبلی مشخص
▪️ با شکایت سرگیجهی دورانی (Vertigo) ناگهانی از حدود ۶ ساعت قبل به درمانگاه مراجعه کرده است.
▪️ بیمار میگوید: "از صبح که بیدار شدم دنیا دور سرم میچرخه، حالت تهوع شدید دارم و دو بار هم استفراغ کردم. با هر حرکت سر، حالت تهوعم بدتر میشه."
▪️ همراه بیمار میگوید: "توی مسیر درمانگاه مجبور شدیم دو نفری زیر بغلش رو بگیریم چون نمیتوانست به…
▪️حدودا دو سال پیش بود که یه دوره فشار خون آماده کردیم که اون زمانی پولی بود ولی تصمیم گرفتیم بصورت رایگان در اختیار همکاران عزیز قرار بدیم .
🔰 دوره در مورد مدیریت بیماران فشارخون در درمانگاه و اورژانس هست / تمرکز روی مدیریت درست و بررسی اشتباهات روتینی که برای مدیریت این بیماران صورت میگیره .
🔰❗️ لینک کانال برای استفاده رایگان
👇👇👇
https://t.me/htngp
🔴 مرحله سوم معرفی کیس ۱ :
👩⚕️ بیمار بعد از ترک درمانگاه ، ساعتی بعد مجددا دچار سنکوپ و تشدید شکم درد شد و اینبار به اورژانس مراجعه کرد :
در اورژانس β-hCG مثبت گزارش شد.
در ادامه در سونوگرافی شکم و لگن، مایع آزاد در حفره شکمی (Free Fluid) مشاهده شد.
📌 و در ادامه در سونوگرافی ترانس واژینال :
Ruptured Ectopic Pregnancy
بیمار تحت نظر سرویس زنان قرار گرفت و برای مدیریت اورژانسی آماده شد.
ـــــــــــــــــــــــــــ…
⁉️ پاسخ به یک سؤال مهم در کار درمانگاهی
❓ اگر بیمار ارجاع را نپذیرد، responsibility پزشک تا کجاست؟
⚠️ در سیستم درمانگاهی معمولاً امکان Document کردن مثل اورژانس بیمارستانی وجود ندارد و پرونده رسمی برای بیمار تشکیل نمیشود.
بنابراین وقتی با بیماری مواجه میشویم که نیاز به ارجاع فوری دارد اما از مراجعه به بیمارستان امتناع میکند، باید حتماً به فکر مستندسازی مناسب باشیم.
✳️ با یک کیس واقعی این مسئله رو توضیح میدیم …
🔰❗️مرحله دوم معرفی کیس شماره ۱ :
▪️در شرح حال بیشتر مشخص میشود که LMP بیمار حدود ۵–۶ هفته قبل بوده.
▪️درد بیشتر در زیر شکم است، تهوع خفیف دارد، تب ندارد و خونریزی واضح واژینال هم ذکر نمیکند.
Vital signs:
BP: 95/60
PR: 112
▪️بیمار هوشیار است ، صحبت میکند و اصرار دارد که «احتمالاً با یک سرم بهتر میشوم» و تمایل چندانی به رفتن به بیمارستان ندارد.
✳️ حالا سوال مهم این است که :
❓ آیا بیماری که هنوز هوشیار است و …
❗️🔰 کیس شماره ۱
خانم ۲۹ ساله
با درد شکم و یک اپیزود سنکوپ
▪️ بیمار به درمانگاه شبانه روزی مراجعه کرده و میگوید از چند ساعت قبل دچار درد شکم شده و امروز یک بار هم احساس ضعف شدید داشته و برای مدت کوتاهی از حال رفته است.
❓ در برخورد اولیه، مهمترین تشخیصهای افتراقی شما چیست؟
❓ در شرح حال و معاینه ، چه سؤالها و یافته هایی برایتان خیلی تعیینکننده است؟
❓ در این بیمار، اولویت شما در چند دقیقه اول چیست؟
📝 نظرتان …
❗️🔰 امروز بررسی اولین کیس رو شروع میکنیم .
▪️کیس ها واقعی هستند و بر اساس تجربه همکاران در درمانگاه و اورژانس می باشد . کیس ها مواردی هستند که بیشتر از هر تشخیص دیگه ای امکان اشتباه و فالت درمورد اونها وجود داره.
بررسی کیس ها بصورت چند مرحله ای می باشد که در نهایت اشتباهات رایج در مورد همون کیس در سیستم درمانگاهی توسط پزشک رو بررسی میکنیم.
⚠️ بررسی کیس ها و تعامل در این گروه انجام میشه :
▪️❗️گروه Discussion
http…
❤28👍8
Signed Reza Najafi
Showing the 12 most recent of 20 posts we hold for @emergency_gp. 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.
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 20 most recent posts we hold, published 28 December 2025 to 27 July 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 — 856,521 of 1,581,209entries 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.
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.
Appears in Telegram’s recommendations for other channels
The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.
Medical Jozveh @medical_jozveh_channel · 121,969 Telegram ranks this channel #78 of 87 here — alongside 86 others — read 18 August 2026
MediPoints @medipoints · 75,923 Telegram ranks this channel #89 of 96 here — alongside 95 others — read 19 August 2026
کار دانشجویی علوم پزشکی | مدیلنسر @medilancer · 93,212 Telegram ranks this channel #93 of 93 here — alongside 92 others — read 18 August 2026
This channel appears in 3 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
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 21 August 2026 — this
entry's latest reading, not the date you are reading this.
“Emergency GP” (@emergency_gp), 12,191 subscribers as measured 21 August 2026. Telegram Register, tgregister.com/channel/emergency_gp.
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.