Channel
@kums_ems
On this record: Growth · Engagement · Reactions · Posts · Polls · Citations · Handles named that no longer answer · Cite this entry
203subscribers
-1 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of Under 1,000.
| Telegram ID | -1001121896442 |
|---|---|
| Type | Channel |
| Username | @kums_ems |
| Created | Between 1 June 2017 and 31 October 2020— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 21 August 2026 |
| Measurements held | 3 |
| Confirmed unchanged | 1 time, most recently 21 August 2026 |
| On Telegram | t.me/kums_ems |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 21 Aug 2026, 14:27 | 203 | -1 |
| 7 Aug 2026, 04:00 | 204 | no change |
| 6 Aug 2026, 23:00 | 204 | first reading |
19 posts held, back to 15 August 2024 — 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 3 June 2026. An engagement rate over an empty window would be a number about nothing.
21 reactions across 9 posts, in 1 kind.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| 👍 | 21 | 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 11 of the 19 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 21reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 19 most recent posts we hold, published 15 August 2024 to 3 June 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.
☢ مراقبت های #اپی_نفرین 1⃣کنترل نبض وBPهر5دقیقه درصورت Inf 2⃣درصورت پیدایش آسیب بافتی درمحل انفوزیون از فنتولامین استفاده کنید 3⃣تغییر محل تزریقIMوSCبه صورت چرخشی 4⃣استفاده از ورید های بزرگ برای تزریق وریدی 🎓🎓نکته 1 #اپی_نفرین: در مصرف با دوز بالا آدرنالین احتمال ایجاد اسیدوزمتابولیک و افزایش اسیدلاکتیک سرم و افزایش گلوکز و BUN وجود دارد 🎓🎓نکته 2 #اپی_نفرین: این دارو سبب افزایش میزان گلوکز می شود و باید در دیاب…
Signed Mohamad.z
Channel name was changed to «🚑 فوریتهای پزشکی کرمانشاه🚑»
👈 #الگوهای_تنفسی : 🔵 #تنفس_طبیعی_یا_Eupnes: تعداد 16تا 18 باردردقیقه 🔵 #تاکی_پنه: تعداد بیشتر از 18 بار دردقیقه 🔵 #برادی_پنه: تعداد کمتراز 16 بار دردقیقه 🔵 #آپنه: نداشتن تنفس 🔵 #شاین_استوک: 🔶دوره های متناوبی از هیپوپنه - هایپرپنه و آپنه است 🔶30 ثانیه تا 2 دقیقه طول میکشد 🔶دربیماران کماتوز وجراحی اعصاب دیده میشود 🔵 #تنفس_بایوت: دوره های نامنظم آپنه همراه با برادی پنه است 🔵 #آپنوستیک: بدنبال هردم وبازدم عمیق به …
👍1
Signed M...
🔻سکته قلبی،یعنی یک قدم تا مرگ 1_با اورژانس ۱۱۵ سریعا تماس بگیرید🚑 2_بیمار را کاملا بی حرکت کنید👥 3_دادن دو داروی آسپرین و TNG به صورت زیر: 💊آسپرین: 🔻در صورت دسترسی،یک دوز ۳۲۵ میلی گرمی 🔻در صورت نبود دوز ۳۲۵ میلی گرمی،چهار عدد آسپرین 80 میلی گرمی داده شود ⛔کنتراندیکاسیون: 🔻در صورتیکه بیمار خونریزی فعال گوارشی،آسم یا حساسیت به دارو دارد نباید آسپرین داده شود. 💊TNG: 🔻یک قرص زیر زبانی نیتروگلیسرین یا دوز 4./ میلی گرم…
Signed zafarii_m
⚕️اورژانس و کمک های اولیه ✨دنبال کنید حتما
Signed zafarii_m
https://www.instagram.com/paramedic_m1?utm_source=qr&igsh=cXplN3ZkaW9oaHk2
Signed zafarii_m
https://t.me/pezeshkan01
Signed zafari.m
💥💥💥ریتم های قابل شوک VT و VF
👍2
Signed zafari.m
قلب |♡ هر زمان با فشار خون پایین مواجه شدید به ضربان قلب دقت کنید: •اگر ضربان قلب بالابود ، مشکل معمولا از دست دادن حجم و تحريك سمپاتيك است. •اگه ضربان قلب پایین بود مشکل معمولا از خود قلب و یا تحريك واگ است. @kums_ems
👍3
Signed zafari.m
#مسمومیت با قارچ های سمی @kums_ems
👍1
Signed zafari.m
جدول آنتی دوت ها 📙 @kums_ems
👍2
Signed zafari.m
#کیس_ریپورت به دنبال ی ماموریت خانم باردار اعزام میشوید در محل با خانم ۲۸ ساله مواجهه میشوید با G3P1Ab1 که Week age:40 ،همچنین مادر اظهار میدارد که در این حاملگی دچار دیابت شده و انسولین تزریق میکند ،بیمار احساس دفع میکند و در معاینه پرزنتاسیون سر نوزاد نمایان هست و در حالی که شما در حال آماده سازی برای انجام زایمان هستید به یکباره سر نوزاد به داخل رحم کشیده میشود و بیمار اظهار میدارد که انگار با چاقو به داخل شکم …
👍1
Signed zafari.m
Showing the 12 most recent of 19 posts we hold for @kums_ems. 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.
The 2 polls we hold for this entry, as Telegram rendered them when we read the post. A poll’s figures keep moving after that, so each one is dated.
علائم SLUDGE از عوارض کدام دسته داروها /مواد است؟ (کارشناسی ۱۴۰۱)
Shares as published. No per-option vote count is published by Telegram, so none is shown.
توضیح مقابل مربوط به کدام بیماری های تنفسی است؟ (دراین گروه از بیماران تنگی نفس بارز بوده قفسه سینه بشگه ای وتنفس لب غنچه ای دارند واصطلاح Pink pufferبرای توصیف نمای بالینی این گروه به کار برده میشود)
Shares as published. 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 15 August 2024 to 3 June 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 — 1,053,835 of 1,602,868entries 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.
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
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.
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.
@kums_ems named 1 handle that resolve to nothing today. That is a fact about the reference, not necessarily a fact about the handle’s history — see the two groups below.
Most of these may never have existed as a live channel at all.A handle a channel names can be a typo, an aspirational name nobody registered, or a channel that was already gone before this one ever mentioned it. Unless a row below is marked evidenced, all we know is that it references a handle that is not a live channel today — not that anything “died”. How this is measured.
References a handle that is not a live channel — we have no record it ever was one.
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.
“🚑 فوریتهای پزشکی کرمانشاه🚑” (@kums_ems), 203 subscribers as measured 21 August 2026. Telegram Register, tgregister.com/channel/kums_ems.
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.