Netflix’s “Pulse” is set in Miami’s busiest Level 1 Trauma Center at Maguire Medical Center and follows a group of ER residents as they navigate high-stakes medical emergencies and personal drama. The story kicks off with third-year resident Dr. Danielle ‘Danny’ Simms, played by Willa Fitzgerald. She’s unexpectedly promoted to Chief Resident after the suspension of Dr. Xander Phillips, portrayed by Colin Woodell, amid the fallout of their secret romantic relationship. A hurricane hitting Miami adds to the chaos, flooding the ER with trauma cases while the staff grapples with their own interpersonal conflicts.
The show was created by Zoe Robyn, who co-showruns it with Carlton Cuse, known for Lost. If you’re wondering, “Is Pulse based on a real story? Did this actually happen?”—Stick with me. We’re about to dig into whether Pulse is a true story or just a killer piece of fiction. Let’s get to it!

Pulse Brings Fiction to Life in Miami’s Busiest ER

Netflix’s Pulse, set in the bustling Maguire Medical Center in Miami, immerses you in the depths of a Level 1 Trauma Center. The show hit screens on April 2, 2025, with all 10 episodes ready to stream. It follows a team of ER residents tackling life-or-death cases while juggling their own messy lives. At the heart of it is Dr. Danielle “Danny” Simms, played by Willa Fitzgerald. She’s a third-year resident thrust into the Chief Resident role after a hurricane rocks Miami and her secret fling with Dr. Xander Phillips (Colin Woodell) blows up in their faces.
The shocking truth is that Pulse is not grounded in a genuine narrative. It’s a fictional ride crafted by Zoe Robyn and co-showrunner Carlton Cuse (yep, the Lost guy). The hospital? Made up. The characters? Born from creative minds, not real-life charts. But don’t let that fool you—this show feels real because it digs into the raw, human side of being a doctor.
Danny Simms: A Fictional Doctor with Real Struggles
So, who’s Danny Simms? She’s not modeled after any real doctor, but she’s the kind of character you’ll wish you could grab coffee with. Danny begins her career as a rising star, only to find herself embroiled in a complex situation with her boss, Xander. Their secret relationship turns sour, leading her to file a sexual harassment complaint against him. This bold move shakes up the ER and sets the stage for the series’ drama.
The creators didn’t pull her story from headlines or hospital records. Instead, they built Danny from scratch to drive the show’s emotional core. The conflict between her and Xander lacks a definitive hero or villain. Robyn and Cuse wanted to keep it real by showing how their different backgrounds and choices clash. Danny’s not perfect, and that’s the point. She’s ambitious, flawed, and relatable, making her journey one you can’t look away from.
Why Does Pulse Feel So Real?
What sets Pulse apart from other medical dramas? It’s not about superhero doctors saving the day every time. Robyn and Cuse sought to delve deeper into the lives of those who work behind the stethoscopes. They wanted to explore how co-workers become your lifeline when you’re stuck in a high-pressure job. Ever had a work friend who gets you through the grind? That’s the vibe they’re going for.
The show doesn’t shy away from the messy stuff either. The fallout between Danny and Xander explores the blurring of personal and professional boundaries. The creators made sure both characters face the fallout of their actions, especially in that tricky gray area of workplace relationships. They even sprinkle in the good moments, showing why Danny and Xander clicked in the first place. It’s a balanced take that keeps you hooked.
Relationships Take Center Stage
While the medical cases in Pulse are intense, particularly with the recent hurricane flooding the ER, the true value lies in the relationships. Cuse has said the show is all about how your work crew shapes your life. Working long shifts can significantly impact your bonds. Danny’s story with Xander ignites the fire, but the entire cast, including Dr. Natalie Cruz (Justina Machado) and the other residents, intensifies the intensity.
The writers also toss in a smart twist: how outsiders view Danny’s complaint. Without knowing all the details, people quickly form judgments about her. It’s a nod to real-life gossip mills and adds another layer to chew on. Plus, the show balances the heavy stuff with friendships that shine through the chaos. The show doesn’t solely focus on negativity; it also showcases a heartfelt aspect.
A Fresh Take on Medical Drama
Filmed in Albuquerque (standing in for Miami), Pulse joins the ranks of shows like Grey’s Anatomy, but with its own flavor. The creators wanted a wholesome watch that’s still packed with tension. You’ll root for Danny, cringe at her missteps, and maybe even laugh at the absurdity of it all. The cast—including Jack Bannon, Jessie T. Usher, and Chelsea Muirhead—brings the ER to life with performances that feel authentic.
On TV Acute, we think Pulse nails the mix of fun and reflection. It’s not about real events, but it mirrors the chaos of balancing work and life. The characters’ flaws make them click with viewers, and the fast-paced ER action keeps you on edge. Whether it’s Danny facing her choices or the team rallying during a crisis, there’s plenty to love.
Have you started watching yet? Let us know what you think!
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