Speakers
Dr. Marc Fisher

Dr. Fisher has been active in the stroke field for 48 years. He continues to see patients and do telemedicine consults for acute stroke patients. His research has focused on the development of acute stroke therapies and he currently consults for several companies who are developing neuroprotective therapies. He has published more than 380 peer reviewed publications. He previously was the editor-in-chief of the journal Stroke from 2010-2020 and was the president of the World Stroke Organization from 2020-2022. He is currently a professor of neurology at Harvard Medical School.
Erin Christman, ASN, RN
Erin worked in EMS for 10 years in Colorado; after moving to 猎奇重口 and graduating from nursing school in 2018, she has worked on various inpatient nursing wards, where she developed a strong clinical foundation and gaining broad clinical experience across multiple units. For the past three years, she has been the Stroke Coordinator at Benefis Health System, combining clinical expertise with a passion for interdisciplinary collaboration to improve stroke patient outcomes, quality improvement, supporting care teams, and advocating for patients throughout their recovery journey.
Joani Guzman
Joani Guzman has spent the past nine years with the American Heart Association, where she leads statewide healthcare initiatives focused on strengthening systems of care and reducing gaps in rural health access. With experience in stroke systems, EMS collaboration, and rural hospital capacity-building, she is committed to advancing equitable, high-quality care for underserved communities. Joani holds a bachelor’s degree in Kinesiology from the University of Northern Colorado and is currently pursuing her MBA at Louisiana State University–Shreveport, further expanding her expertise in healthcare leadership and strategy.
Joshua Knappenberger, MD
Dr. Knappenberger is a neuro-hospitalist who works at Bozeman Health and serves as stroke director at Deaconess Hospital and Big Sky Medical Center. He went to medical school at the University of Utah, did his residency at the University of Washington, with a clinical fellowship in clinical neurophysiology at the University of Vermont and a year of postdoctoral work at the Weizmann Institute in Rehovot, Israel.
James MacNutt, DO, FACS, MHCDS

Dr. James MacNutt is a board-certified neurosurgeon who provides care for patients with a variety of neurological and spinal conditions that require surgical intervention.
Serving as the endpoint of what can often be a long medical journey is a point of pride for Dr. MacNutt. He provides medical advice and treatment options that are in the best interest of his patients, helping them move forward while employing a down-to-earth communication style.
Outside of his practice, Dr. MacNutt enjoys outdoor activities during all seasons. His favorites include snowshoeing, snowboarding, snowmobiling, hockey, curling, and hiking.
Amber Massey, BSN, RN, CEN
Amber Massey, BSN, RN, CEN has nearly 17 years of nursing experience with her primarily in critical access hospitals and emergency departments. She's passionate about teaching and continuing education, supporting colleagues through learning, mentorship, and professional development. Outside of work, Amber can usually be found with her family, outdoors, or planning her next trip with a good book in the mix.
Brittany Mayfield, MD
Brittany Mayfield, MD is an Emergency Physician and Medical Director of Benefis Emergency Services and Great Falls Fire Rescue, and serves as Director of Undergraduate Medical Education at Benefis Health System. She obtained her medical degree from Wake Forest University School of Medicine, and completed her Emergency Medicine residency at Vanderbilt University. Brittany has worked at Benefis for nearly a decade and has served in director roles for the past 2.5 years. She is deeply committed to providing high-quality emergency care, supporting first responders, and training the next generation of physicians to serve 猎奇重口 communities.
Alysia Mosness, RN
Alysia M. Mosness, RN, brings 20 years of nursing experience to her role as Director of ICU, ER, and Infection Prevention at Northern 猎奇重口 Health Care. The majority of her career has been dedicated to Emergency Medicine, where she developed deep clinical expertise before transitioning into nursing leadership. Alysia is committed to advancing patient safety, supporting staff development, and strengthening high‑quality care delivery in rural health settings.
Tom Price, RN, BSN
Tom Price is the Director of Critical Care at Bitterroot Health. With nearly four years of experience at Bitterroot Health, Tom is deeply committed to providing top-notch healthcare in his community. Tom’s journey to 猎奇重口 was fueled by a passion for mountain biking and a desire to be close to family. Prior to joining Bitterroot Health, Tom served as the Emergency Room Director at Alaska Regional and gained valuable experience in the Burn Trauma ICU at the University of Utah. Both in Alaska and in 猎奇重口, Tom as worked alongside dedicated professionals to standardize stroke care protocols, emphasizing the same urgency as with trauma cases. This commitment has led to tangible improvements, notably reducing our door-to-needle and door-to-transport times, ultimately enhancing outcomes for those served.