Can patient harm drive better sepsis prevention?
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How did Josh’s tragic skydiving accident illustrate hidden hospital‑acquired infection risks?
When I asked the infection preventionist at the hospital Joshua, how did he get this infection? He looked on and said, I just don't know. And that broke me. But it also opened my eyes. No one person can fight every germ, but the system can, if we choose to.
This is the Sepsis Spectrum, a podcast about antimicrobial resistance, sepsis, and how to expect the unexpected in your practice.
Not every boy who dreams of the skies gets to visit them. But by twenty seven, Josh Nahom was a skydiving instructor, chasing clouds and saving up to become a child psychologist. On Labor Day weekend 2006, a sudden shift in air density caused Josh's parachute to collapse mid-jump. He hit the ground at sixty miles per hour, breaking his femur and fracturing his skull. Tragic but thankfully survivable. After nearly six weeks in the ICU, Josh was improving and transferred to a local rehab facility. Fast forward six days and he developed nausea and a hundred and three degree fever. Tests revealed enterobacter aerogens, a hospital acquired gram negative bacteria in Josh's cerebral spinal fluid. That night, Josh coded.
An emergency brain procedure saved his life, but resulted in spinal damage that left him a ventilator dependent quadriplegic. On October twenty second, Josh died. Нам из injuries, but from sepsis. Today we speak with his father, Armando Nahom, and hear about one family's necessary mission born from an unnecessary loss. Hi everyone, and welcome to the sepsis spectrum, or as we like to call this season, microbial mysteries. I'm Nicole Kupchik, critical care nurse and clinical nurse specialist, and your guide through the complicated and sometimes frustrating world of sepsis and antimicrobial resistance. On today's episode, we're gonna understand how quality improvement or QI plays a key role in catching sepsis.
Healthcare associated infections and antimicrobial resistance early and keeping patients safer. First up is Armando Nahoom. You may recognize his name from the story I shared at the beginning of this episode. Armando is a nationally recognized patient safety advocate whose mission began after losing his son to a hospital-acquired infection. He co-founded the Safe Care Committee. Campaign and has advised major institutions like the CDC and CMS on infection prevention and patient partnership, infection prevention, and system-wide change, including his appointment to the Presidential Advisory Council for Combating Antibiotic-Resistant Bacteria. After the break, Dr. Hudson Garrett will join us. He is one of the most
Most credentialed voices in healthcare safety, quality, and infection prevention. As president and CEO of the Hudson Garrett Group, and with advisory roles to the FDA, CDC, and AORN, he's helped lead the charge in reducing harm and fighting antimicrobial resistance. Together, they offer both clinical insight and lived urgency. An essential pairing in the fight to make patient care safer. Let's welcome to the pod Armando Nahum.
I am privileged to be joined now by Armando Nahoom, who you heard the story of his son Joshua and his unfortunate, untimely death back in 2006. So now I'm gonna we're gonna talk about what Armando Nahom has done since his son's death. So welcome to the show, Armando.
Hello, and thank you for having me here today. Appreciate it.
Yeah. Oh, uh thanks so much for joining us. Uh can you just give us a quick recap of what happened back in two thousand six?
Sure, I'd be glad to um what I'm about to share is not really just my story. It's um a story that touches so many families across the country. And it's a story about infections, not the kind we expect and recover from, but the ones we never see coming. Those that happen in the places that we turn in for healing, the hospitals. So within just ten months time, three generations of my family, my father, my wife, and my son, each suffer serious, even deadly, bacterial infections. Different hospitals, different procedures, different states, but all preventable. And if I may, um, I'd like to take you back to where all this began.
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Chapters
5 chapters
1
How did Josh’s tragic skydiving accident illustrate hidden hospital‑acquired infection risks?
0:00–8:48
2
What systemic failures led to multiple preventable infections in Armando’s family?
8:48–16:45
3
How did Armando turn personal loss into the Safe Care Campaign and national advocacy?
16:45–25:45
4
What role does quality‑improvement (QI) play in catching sepsis early?
25:45–38:09
5
How can antimicrobial stewardship protect individual patients and curb resistance?
38:09–43:24