كيف تفرق بين hyperkalemia and STEMI in ecg ? اذا ماكو بس hyperacute t wave مراح تعرفين بالعادة ال stemi يصير وياها تغيرات اخرى مثلا st elevations او t inversions بس اذا توها صايرة تصير بس hyperacute t wave منكدر نميزها عن الذبحة لذلك من يوصل هيج مريض بالغالب يسوون ecg+ troponin+ s electrolytes #شرح_myFriend #STEMI #Hyperkalemia

Channel
Med_notes (Oxford emergency medicine)
@teb4th
On this record: Growth · Engagement · Reactions · Posts · Polls · Citations · Cite this entry
1,701subscribers
-11 since we began measuring on 5 September 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
Register entry
| Telegram ID | -1001384411076 |
|---|---|
| Type | Channel |
| Username | @teb4th |
| Created | Between 1 March 2018 and 31 July 2021 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 5 September 2026 |
| Last confirmed live | 19 September 2026 |
| Measurements held | 6 |
| Confirmed unchanged | 1 time, most recently 19 September 2026 |
| On Telegram | t.me/teb4th |
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 19 Sept 2026, 14:36 | 1,701 | -4 |
| 15 Sept 2026, 13:21 | 1,705 | -3 |
| 12 Sept 2026, 05:39 | 1,708 | -1 |
| 8 Sept 2026, 01:59 | 1,709 | -3 |
| 5 Sept 2026, 15:22 | 1,712 | no change |
| 5 Sept 2026, 14:47 | 1,712 | first reading |
Engagement
20 posts held, back to 9 April 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.
- ERR · 30 days
- 6.06%
- avg views ÷ 1,701 subscribers
- Avg views / post
- 103
- 1 post measured
- Reaction rate
- —
- this channel exposes no reaction counts
- 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.
| Window | Rolling 30 days · latest post in window 29 August 2026 |
|---|---|
| Posts held | 20 (9 April 2026 – 29 August 2026) |
| Views total | 103 |
| Reactions total | — |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 5 Sept 2026, 15:22 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.
Reaction mix
3 reactions across 3 posts, in 1 kind.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 3 | 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 3 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 3 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 9 April 2026 to 29 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.
Recent posts
Posted without readable text
السلام عليكم قناة دندرس بيها سوه تفيدكم بالدراسة اليومية study with me ويعني تفيدكم بشكل عام اكو شروحات مواد مثبتة 💖 https://t.me/dailystudying34 ❤️🔥❤️🔥❤️🔥
❤1
ع جات صوره ب بروفايل + استخدم 請用蠟筆畫風格把整張圖創作成一幅圖畫。 簡化細節、使其看起來像是10歲孩子畫的。不要使用原来圖片的顏色。讓整體看起来是在一張白纸上作畫的感覺,非常可爱的感覺,可以加一些可愛的元素比如花朵、糖果、星星、雲朵等看起來很童真。
❤1
Amazing 😍😍
Photo, posted without a caption
AF ⚠️⚠️⚠️⚠️
📌Approach of Mx #AF 👉🏻first determine the patient is hemodynamically stable or not? اول خطوة اسويها لازم احدد المريض stable او لا عن طريق اربع شغلات -شفت pulse is irregular بعدها اقيس ضغطه واحط سماعتي علمود basal crepitationواشوف نسبة الوعي مالته اذا unstable لازم dc shock 👉🏻👉🏻unstable 👉🏻👉🏻synchronized dc shock ➡️Bp 👉🏻SBP<90 ➡️pulmonary congestion ➡️impaired level of consciousness ➡️ischemic chest pain يعني مث…
#AF ▫️شنو اسباب af ؟ طبعا اكو شي اسمه risk factors واكو causes بس هي كلها theory لسبب af يعني نظريات ناخذ مثال هذا المريض عنده ضغط وسكر ويدخن وذني كلهن يعتبرن risk factors اصلا الضغط وحده اكثر سبب يسوي af بمعظم الدول ▫️شنو ال risk factors ؟ تسال المريض بالهستري اول شي عمر المريض 👉🏻Advanced age 👉🏻Pmh( dm and HT ) 👉🏻Social hx ( smoking and alcohol) واذا جان المريض يعاني من السمنة و obstructive sleep apnea ————————- …
Photo, posted without a caption
Posted without readable text
Serum troponin موجود ب cardiac muscle يطلع لمن يكون اكو injury ب muscle Rising 3_6 hr Peak 12_24hr Duration 7_14day يبقى مرتفع لحد اما CK لا هذا يرتفع متأخر 6_7hr ويبقى لحد 48hr ❤️🔥🍂 لكن هذا يفيد اذا صارت recurrent mi هذا شيء الي يميزه عن troponin ✅✅✅ مهم ❌❌❌🔽 مو كل troponin +ve معناتها اكو mi مو شرط مو كل troponin -ve معناتها ماكو mi مو شرط يعني اكو عده causes لارتفاع troponin : Mi Myocarditis PE Sepsis Chest t…
Showing the 12 most recent of 20 posts we hold for @teb4th. 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.
في stroke احتاج انزل ضغط ام لا لو اكو حالات معين
- لا ميحتاج12%
- يحتاج دائما انزله16%
- اكو حالات معينه72%
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 20 most recent posts we hold, published 9 April 2026 to 29 August 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.
Forward network
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
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.
Names
Channels on the register whose handles appear in this channel's posts.
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 19 September 2026 — this entry's latest reading, not the date you are reading this.
“Med_notes (Oxford emergency medicine)” (@teb4th), 1,701 subscribers as measured 19 September 2026. Telegram Register, tgregister.com/channel/teb4th.
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.