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Channel

طب اورژانس سینا آشوغ

@tebsinaashugh

Not marked by Telegram, checked 22 August 2026

On this record: Growth · Engagement · Reactions · Posts · Polls · Citations · Telegram's recommendations · Cite this entry

2,049subscribers

+0 since we began measuring on 21 August 2026

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

Register entry

Telegram ID-1002216725209
TypeChannel
Username@tebsinaashugh
CreatedBetween 1 June 2024 and 30 September 2024— estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded21 August 2026
Last confirmed live28 August 2026
Measurements held4
Confirmed unchanged1 time, most recently 28 August 2026
On Telegramt.me/tebsinaashugh

Growth

2,0492,0502,049.521 August 2026 — 2,049 subscribers22 August 2026 — 2,049 subscribers25 August 2026 — 2,050 subscribers28 August 2026 — 2,049 subscribers21 August 202628 August 2026
4 measurements spanning 6 days. 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 2,049–2,050 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)SubscribersChange
28 Aug 2026, 10:562,049-1
25 Aug 2026, 11:342,050+1
22 Aug 2026, 18:132,049no change
21 Aug 2026, 23:312,049first reading

Engagement

20 posts held, back to 14 May 2025the 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 20 posts for this entry, the most recent from 16 November 2025. An engagement rate over an empty window would be a number about nothing.

Reaction mix

108 reactions across 20 posts, in 12 distinct kinds. The most used accounts for 38.0% of them.

Every reaction kind recorded on the sample, most used first
ReactionCountShareShare, drawn
4138.0%
👍3734.3%
👏109.26%
🔥65.56%
🤯43.70%
21.85%
👨‍💻21.85%
🙏21.85%
😨10.926%
🤔10.926%
🤪10.926%
🥴10.926%

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 108reactions 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 14 May 2025 to 16 November 2025, 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

16 Nov 2025, 21:59 UTC≈1,540 views2 reactionsread 21 August 2026
File

🔥 آهنگیفای: دانلود موزیک

👍2

Signed Sinaashugh

14 May 2025, 16:12 UTC≈3,070 views15 reactionsread 21 August 2026

از حساس ترین و مخفی ترین جدول ها سوالات طرح شده بود دقتتون موقع خوندن باید بیشتر رو جدولا باشه فک کنم با توجه به تعداد جواب های نادرست برای امشب بسه شب بخیر❤️

9👏4🙏2

Signed Sinaashugh

14 May 2025, 16:12 UTC≈2,990 views8 reactionsread 21 August 2026

پاسخ درست: C تحلیل: CPP مهم‌ترین چیزه، فشار باید بالا نگه داشته شه. الگوریتم resuscitation در روزن تأکید کرده که SBP زیر ۱۰۰ باید اصلاح بشه فوراً.

4👍4

Signed Sinaashugh

14 May 2025, 16:05 UTC≈2,710 views8 reactionsread 21 August 2026
Poll

طبق الگوریتم روزن، در بیماری با TBI و فشار خون سیستولیک ۹۵، GCS=۸، اقدام مناسب چیست؟

  1. A) ترخیص با آموزش2%
  2. B) تجویز مانیتول18%
  3. C) مایع درمانی جهت حفظ فشار بالای ۱۰۰63%
  4. D) استفاده از فنی‌توئین18%

Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.

👍53

Signed Sinaashugh

14 May 2025, 16:03 UTC≈2,350 views6 reactionsread 21 August 2026

پاسخ درست: B تحلیل: هر نشانه از skull fracture در Canadian CT rule = CT الزامی. این یافته high risk محسوب می‌شه، حتی اگر سایر علائم نباشن.

3👍3

Signed Sinaashugh

14 May 2025, 16:03 UTC≈2,190 views6 reactionsread 21 August 2026

پاسخ درست: C تحلیل: ترخیص از ED نیاز به مراقب مطمئن در منزل دارد؛ جدول discharge در روزن این شرطو الزامی دونسته. نبود caregiver مانع ترخیصه.

3👍3

Signed Sinaashugh

14 May 2025, 16:02 UTC≈2,060 views5 reactionsread 21 August 2026
Poll

در بیمار ۴۰ ساله با ترومای blunt به سر، GCS=15، LOC گذرا، بدون سردرد، طبق Canadian Rule، CT لازم است اگر:

  1. A) تهوع خفیف بدون استفراغ10%
  2. B) نشانه‌ای از شکستگی جمجمه39%
  3. C) ضعف اندام در معاینه37%
  4. D) سردرد دیررس14%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

3👏2

Signed Sinaashugh

14 May 2025, 16:00 UTC≈1,530 views6 reactionsread 21 August 2026
Poll

کودک ۸ ساله با LOC کوتاه، GCS=15 و CT نرمال مراجعه کرده. طبق جدول روزن، کدام شرط برای ترخیص کافی نیست؟

  1. A) تحمل مایعات خوراکی19%
  2. B) بدون تهوع و خواب‌آلودگی11%
  3. C) بدون خانواده یا مراقب مطمئن59%
  4. D) نداشتن تشنج یا اختلال رفتاری11%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

👏42

Signed Sinaashugh

14 May 2025, 15:44 UTC≈1,390 views7 reactionsread 21 August 2026

پاسخ درست: C تحلیل: سن بالا (به‌خصوص >۶۵) طبق جدول روزن، strongest single predictor برای افت وضعیت بعد از TBI خفیفه، حتی با CT نرمال. شکستگی تمپورال مهمه ولی به تنهایی معادل ریسک سنی نیست.

4👍3

Signed Sinaashugh

14 May 2025, 15:43 UTC≈1,240 views5 reactionsread 21 August 2026

پاسخ درست: B تحلیل: حداقل CPP برای جلوگیری از ایسکمی در بالغین در روزن 60 mmHg ذکر شده؛ افزایش بیش از حد ICP یا افت فشار باعث کاهش CPP می‌شه. عدد 70 در منابع قدیمی‌تر بوده، ولی guideline فعلی روزن روی 60 تأکید داره.

👍32

Signed Sinaashugh

14 May 2025, 15:40 UTC≈1,240 views3 reactionsread 21 August 2026
Poll

در ترومای سر خفیف (GCS 13-15)، طبق جدول روزن، کدام عامل بیشترین احتمال افت نورولوژیک تا ۲۴ ساعت بعد از CT نرمال را دارد؟

  1. A) تهوع و استفراغ مداوم25%
  2. B) وجود شکستگی استخوان تمپورال26%
  3. C) سن بالای ۶۵ سال41%
  4. D) استفاده از داروی ضدافسردگی SSRI7%

Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.

2🥴1

Signed Sinaashugh

14 May 2025, 15:37 UTC≈1,150 views5 reactionsread 21 August 2026
Poll

طبق جدول مدیریت ICP و CPP در ترومای مغزی در روزن، حداقل CPP برای جلوگیری از ایسکمی مغزی در بالغین چند است؟

  1. A) 50 mmHg11%
  2. B) 60 mmHg57%
  3. C) 70 mmHg12%
  4. D) 80 mmHg20%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

2👨‍💻2😨1

Signed Sinaashugh

Showing the 12 most recent of 20 posts we hold for @tebsinaashugh. 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 6 most recent of 9 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.

14 May 2025, 16:05 UTCAnonymous Quiz203 voters

طبق الگوریتم روزن، در بیماری با TBI و فشار خون سیستولیک ۹۵، GCS=۸، اقدام مناسب چیست؟

  1. A) ترخیص با آموزش2%
  2. B) تجویز مانیتول18%
  3. C) مایع درمانی جهت حفظ فشار بالای ۱۰۰63%
  4. D) استفاده از فنی‌توئین18%

Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.

14 May 2025, 16:02 UTCAnonymous Quiz142 voters

در بیمار ۴۰ ساله با ترومای blunt به سر، GCS=15، LOC گذرا، بدون سردرد، طبق Canadian Rule، CT لازم است اگر:

  1. A) تهوع خفیف بدون استفراغ10%
  2. B) نشانه‌ای از شکستگی جمجمه39%
  3. C) ضعف اندام در معاینه37%
  4. D) سردرد دیررس14%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

14 May 2025, 16:00 UTCAnonymous Quiz143 voters

کودک ۸ ساله با LOC کوتاه، GCS=15 و CT نرمال مراجعه کرده. طبق جدول روزن، کدام شرط برای ترخیص کافی نیست؟

  1. A) تحمل مایعات خوراکی19%
  2. B) بدون تهوع و خواب‌آلودگی11%
  3. C) بدون خانواده یا مراقب مطمئن59%
  4. D) نداشتن تشنج یا اختلال رفتاری11%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

14 May 2025, 15:40 UTCAnonymous Quiz110 voters

در ترومای سر خفیف (GCS 13-15)، طبق جدول روزن، کدام عامل بیشترین احتمال افت نورولوژیک تا ۲۴ ساعت بعد از CT نرمال را دارد؟

  1. A) تهوع و استفراغ مداوم25%
  2. B) وجود شکستگی استخوان تمپورال26%
  3. C) سن بالای ۶۵ سال41%
  4. D) استفاده از داروی ضدافسردگی SSRI7%

Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.

14 May 2025, 15:37 UTCAnonymous Quiz90 voters

طبق جدول مدیریت ICP و CPP در ترومای مغزی در روزن، حداقل CPP برای جلوگیری از ایسکمی مغزی در بالغین چند است؟

  1. A) 50 mmHg11%
  2. B) 60 mmHg57%
  3. C) 70 mmHg12%
  4. D) 80 mmHg20%

Shares as published. No per-option vote count is published by Telegram, so none is shown.

14 May 2025, 15:29 UTCAnonymous Quiz69 voters

در بیماران TBI شدید، کدام وضعیت فیزیولوژیک طبق جدول تینتینالی با پیش‌آگهی بدتر نورولوژیک مرتبط است حتی اگر CT و GCS پایدار باشند؟

  1. A) تب بالای ۳۸.۵ در ۲۴ ساعت اول35%
  2. B) افت دما به زیر ۳۵ درجه در اورژانس49%
  3. C) نرموترمی در طول اقامت اورژانس1%
  4. D) تاکی‌کاردی گذرا بدون افت فشار14%

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 14 May 2025 to 16 November 2025. 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.

Mentions

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.

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.

جعبه اسرار
@Secrets_Box · 68,015
Telegram ranks this channel #62 of 68 here — alongside 67 others — read 21 August 2026
صرفا نسخه‼️
@noooskhe · 49,359
Telegram ranks this channel #83 of 90 here — alongside 89 others — read 26 August 2026

This channel appears in 2 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 28 August 2026 — this entry's latest reading, not the date you are reading this.

“طب اورژانس سینا آشوغ” (@tebsinaashugh), 2,049 subscribers as measured 28 August 2026. Telegram Register, tgregister.com/channel/tebsinaashugh.

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.