Our Staff in West Sacramento, California

Paula Botman

Operations Manager

Paula Botman is an accomplished professional with a deep commitment to providing the highest quality EMS training. Her focus on EMS instruction has developed over her 24 years of experience, including 9 years as a paramedic in the state of California. She approaches her commitment to teaching with the same passion that she provided patient care, instructing students across the US, as well as teaching international programs in China.

Paula’s commitment to delivering the most effective training possible has impacted multiple generations of EMS personnel and hospital staff, including CNAs, RNs, RTs and Physicians. Her scenario-based approach can be tailored to fit the size and needs of different audiences, giving her the ability to connect well with both groups and individuals.

Equally skilled in adult, pediatric, geriatric and trauma training, Paula’s deep experience gives her the ability to excel across disciplines. Her method of teaching is engaging, challenging and clinically thought provoking and many of her students are repeat customers who go out of their way to participate in her classes.

Paula’s message is clear – work hard so you can deliver better emergency care. Her management style is built with the same ideals, focus and determination that she brings to her personal life – constantly moving forward to improve herself and the lives of those around her.

Jeff O'Connell

Operations Manager

Jeff joined Cascade in 2015 as an ACLS, PALS and BLS instructor and became the Roseville Operations Manager in 2019. He began his career in 1994 as an EMT in the Sacramento area and became a Paramedic in 2000. In 2000 he also started teaching EMT programs and became passionate about EMS education. Jeff has since assisted in teaching Paramedic programs and is currently teaching an EMT program at a local college. Jeff has earned a Bachelor's Degree in Information Technology. As Operations Manager, he is focused on bringing premier education to the Roseville Training Center as well as the surrounding Sacramento area. He enjoys being a part of and supporting the best instructors in the area. In his free time, he loves to watch college football and travels at least once a year to an Ohio State football game. When not learning something new, Jeff also enjoys traveling with his wife, two sons and two dogs to the Mendocino coast.

Sarah David

Program Coordinator

Sarah is the Client Support Specialist for the Roseville Training Center. Sarah comes from a background in Personal Training and Customer Service in the medical field. She has a degree in Health and Wellness and is passionate about helping people which makes her a perfect fit for Cascade. Sarah is a Californian born and raised and currently lives in Auburn, CA with her husband and two kids. In her down time she enjoys watching movies, playing with her kids, and painting.

Laurel Schenck

Client Support Specialist

Laurel joined the Cascade Training Center team in February of 2017 as a Client Support Specialist. Laurel attended the University of Vermont and received her degree in Nuclear Medicine. Laurel has always had a passion for helping people and wants to pursue a career in healthcare to make a difference in the lives of others. Laurel has published research on the radiation physics of hepatobiliary cancer treatments, which she has also presented at regional nuclear medicine conferences. Last year, Laurel moved cross-country with her beloved dog to experience the beautiful California outdoors. Laurel’s hobbies include hiking, swimming, and skiing.

Jeramiah Stirber

Client Support Specialist

Jeramiah joined the Cascade Training Center team in Summer 2019 as a Client Support Specialist. Jeramiah moved from Redding in 2016 to attend Sacramento State University and graduated in Spring 2019 with a bachelors degree in Kinesiology. Jeramiah gained experience in the medical field from college and various jobs that required CPR & BLS skills - most notably the United States Army as an Infantryman. While at Sacramento State, Jeramiah intern-coached at American River College’s football program with aspirations of becoming a football coach in the future. In his free time he enjoys spending time with his two huskies and friends in midtown Sacramento where he resides.

Izabelle Mendoza

Client Support Specialist

Izzy joined the team in Summer 2019 with experience in emergency veterinary medicine. After a few years working as a technician she decided that it was time for a change and joined Cascade. She loves all things Disney and even worked at Walt Disney World in Animal Kingdom driving for Kilimanjaro Safaris. In her free time, Izzy loves to spend time with friends downtown and watch movies with her dog Lilo.

Aaron Christopher

Client Support Specialist

From hiking in the Himalayan mountains to deep sea diving off the coast of the Hawaiian islands, Aaron has done none of these things. Instead he has spent his time playing music throughout the greater Sacramento area for the past 16 years while working as a bartender. He also enjoys drawing, animating and all things creative. He is glad to now be working at Cascade Training Center as a Client Support Specialist, where his experience in customer service will help him ensure our clients are well taken care of.

Paul Regalia Vice President of Clinical Operations

Paul Regalia



As a Registered Nurse and Mobile Intensive Care Paramedic with more than 20 years of patient care experience, Paul's core belief is that individuals and healthcare entities must value and promote quality and relevant team based continuing education to continuously improve patient outcomes. Paul's direct patient care experience has included almost two decades as a Mobile Intensive Care Paramedic with the world renowned King County Medic One receiving his Paramedic Certification directly from many of the physician pioneers in resuscitation at the University of Washington School of Medicine Paramedic Training Program. His work as a senior paramedic, field training officer and Air Support Unit Paramedic with the KCSO Guardian Rescue helicopter service in addition to his work as a registered nurse in primary care, public health, correctional healthcare and hyperbaric medicine, has reinforced his passion for collaborative training programs that focus on crew resource management and effective team dynamics. His healthcare management experience has focused on training program design, CQI, curriculum development and collaborative care initiatives. He continues to work clinically, leading cardiac arrest resuscitations as well as participating as a data collector for many ongoing cardiac arrest and trauma related studies.

Paul's direct responsibilities at Cascade include building a culture of excellence with a team of experts at every level of our organization, exceed expectations with industry leading customer service and collaborate with our clients to insure we are continuously contributing to improved patient outcomes with a total program cost effective solution.

Eric Guerrero, Chief Operating Officer

Eric Guerrero

Chief Operating Officer


Eric joined Cascade as Chief Operating Officer in March of 2017. He began his career as an EMT and emergency dispatcher before joining Intrado where he has held multiple positions ascending from project management to VP/General Manager. Eric brings over 17 years of public safety experience leading teams that build, deploy and manage 9-1-1 systems and infrastructure. He is passionate about leading teams to make significant positive impact on the communities we serve.

As COO, he is focused on continuing the delivery of world class training, expanding Cascade's brand and services, and delivering excellent customer experiences. Eric earned his Bachelor's degree from Colorado Christian University, and a MBA from Colorado State University.

He currently lives in Denver with his wife and two kids and enjoys spending time with his family, mountain biking and home projects.

Dylan Luyten, MD

Medical Director


Dr. Dylan Luyten attended the University of Massachusetts, Amherst where he majored in English Literature and French. When he just couldn't get the great American novel written, he began looking around for a new direction. As fate would have it, he loved the biological sciences and some personal experiences made it abundantly clear that medicine was where he belonged. Dr. Luyten completed a course of post-baccalaureate premedical studies at the Harvard University Extension School. He then stayed in Boston and attended medical school at the Tufts University School of Medicine. He completed a year of internal medicine internship at the Lahey Clinic, in Massachusetts. Subsequently Dr. Luyten came west for the Denver Health Residency in Emergency Medicine at Denver Health Medical Center. There, despite being subjected to the role of Chief Resident in his final year, he managed to fall in love with Denver and the Rocky Mountains, and more importantly, with the compelling, challenging, and satisfying specialty of emergency medicine. He currently enjoys practicing emergency medicine at Swedish Medical Center, in Englewood, Colorado. Dr. Luyten is the Medical Director of the Emergency Department at Swedish Medical Center, a Level 1 Trauma Center and Comprehensive Stroke Center in Englewood, Colorado. Passionate about EMS education, he is EMS Medical Director for Action Care Ambulance and Cascade Training Center in Denver, Colorado. Dr. Luyten divides his time between clinical emergency medicine, hospital administration, and EMS teaching. When not working, he can be found with his wife and children or enjoying the solitude of the Colorado wilderness.

Amanda Bernhardt

Compliance Manager / Training Center Coordinator


Amanda has a Bachelors degree in Biology and a background as an EMT. She has been part of the Cascade team since 2012 and has worked in a variety of roles within the company, allowing her to foster relationships with many of our clients and partners throughout the organization. In her current role as Compliance Manager, Amanda focuses a lot of her time on process implementation and maintenance. She is our American Heart Association Training Center Coordinator and acts as a liaison between Cascade and AHA, ensuring that all courses are compliant and up-to-date with the most current science available. Amanda also oversees our continuing education accreditation status with a variety of credentialing boards including the Washington State Medical Association, California Board of Nursing, Dental Board of California and Colorado Department of Health. In addition, Amanda manages our inventory supply chain and works with our vendors to ensure we have an adequate stock of products for all of our students and clients.

Outside of work, Amanda and her husband lead a full life. You will find them cooking, enjoying all the outdoor activities available in the Northwest, playing board games or trivia, and traveling as often as possible.

Travis Pittman

Clinical Manager

Travis became involved in public safety and emergency medical services right out of high school. His first job out of high school was an Emergency Room Technician at Tacoma General Hospital. That is where his passion for emergency medicine grew and moved him into pre-hospital work. He went to Paramedic school and has worked in many systems as an EMT and Paramedic. Travis pursued a full-time education position to have the highest impact on patient care out comes by educating his peers and community in the most up-to-date resuscitation guidelines and skills into their practice. Travis has been with Cascade since September 2011.

In his free time he loves spending time cooking and adventures outdoors with his wife and daughter.