

'Pulse' Ending Explained: What did Xander Phillips do at Kennedy? And who is the new Chief Resident?

After a devastating hurricane; a slew of personal and professional scandals; and 10 episodes packed with romance, heartbreak, betrayal, surprises, and medical emergencies, Pulse‘s Season 1 finale answered two key questions: What did Xander Phillips do at Kennedy? And who is the new Chief Resident for the new academic year?
After the penultimate episode of Pulse Season 1 ended with Xander (Colin Woodell) revealing that he killed someone earlier in his career, the finale of Zoe Robyn’s new Netflix medical drama — aptly titled, “Kennedy” — flashed back to his past and finally revealed why he had to sign an NDA and transfer from his former hospital. But that’s not all!
The Season 1 finale also showed the fallout between Dr. Cole’s (Jack Bannon) lies to Dr. Soriano (Nestor Carbonell) and Cass (Jessica Rothe). It showed Dr. Cruz (Justina Machado) butting heads with Dr. Sanchez (J.R. Ramirez). And it revealed whether Dr. Danny Simms (Willa Fitzgerald) or Dr. Sam Elijah (Jessie T. Usher) snagged the new Chief Resident position.
Curious how The Pulse Season 1 ended? Decider’s detailed recap of Pulse‘s Season 1 finale, “Kennedy,” is at your service. Just be warned, major spoilers lie ahead.
While Pulse didn’t go out with a hurricane-level emergency, it did raise the stakes with an unexpected hospital guest. A 32-year-old male who tried (and failed) to beat a speeding train was airlifted to the trauma center, and Danny quickly recognized him as Glenn Vogel, the guy she got in a fight with earlier in the season. His wife Kathryn and baby Benny were in another chopper, and despite Danny’s negative feelings for him, she quickly sprung into action and offered assistance. When Vogel realized who was treating him, however, he refused care and tried to punch her until it became clear his life was on line.

When Vogel’s family arrived in critical condition, he became emotional and opened up about his distrust in hospitals after doctors failed to save his dying dad. He explained that Benny’s condition got worse after they left the trauma center, so he was speeding to his mom’s house so she could work her midwife magic and figure out a solution. He begged Xander to save his loved ones, and as Danny comforted him, Cruz unknowingly watched her genuine care and empathy through the window.
When Kathryn’s condition worsened and they lost her pulse, Xander had to take high-stakes lifesaving measures that mentally took him back a year to his time at Kennedy.
An emotional flashback kicked off with Xander’s Kennedy colleague warning him that Dr. Broussard was “reaming out anybody who takes too long on a discharge.” And when Broussard walked by, she even told Xander to “work faster, golden boy.”
Xander was happy to see a longtime patient’s face that day, but upset to learn that the 20-year-old college student was feeling a lot of pain. Taking Broussard’s need for speed seriously, Xander tried to tell Julio and his mom they had to get fluid related to his liver disease removed from his GI clinic because his team was slammed. After learning Julio would have to wait a week to have the procedure done, however, Xander made the call to help him — even though it set his schedule back.
When Broussard learned Xander chose to perform a paracentesis procedure (removing abdominal fluid via needle) on “a non-emergent patient,” she encouraged him to speed things along by not waiting for the ultrasound machine. Xander had never done a blind paracentesis, so he pushed back, then caved under Broussard’s pressure and Julio’s pleas for relief. He completed the procedure and sent Julio home, but his mom returned in tears after Julio collapsed. Xander rushed him to the trauma bay and started compressions, but lost Julio’s pulse. The patient ultimately bled out because Xander nicked a vessel, so his parents and Broussard covered up the mess by having him sign an NDA and transfer from Kennedy.

As Kathryn’s life hung in the balance, Xander started having flashbacks to that dark day. Thanks to some quick-thinking from Danny, he was able to save Kathryn’s life, but he got emotional thinking back to the life he lost. And while a wave of relief washed over him, out of an abundance of caution, he refused to tell Vogel his wife was OK until she got out of surgery.
When Danny noticed what an emotional toll Kathryn’s procedure took on Xander, she closed the door behind them the two shared an intimate moment together. Xander finally told her about Julio and admitted he thinks about him every time he goes into the trauma bay or works on a patient. What made the loss harder to live with was the fact that his mom covered everything up, so he couldn’t tell Danny the rumors about him and other women weren’t true, because breaking the NDA could ruin him.
Earlier in the season, after Danny dropped her complaint against Xander, she realized that all she really needed was acknowledgement and an apology from him. She got it. Xander acknowledged that he shouldn’t have pushed her or put her in the position he did. He should have listened to what she wanted and needed from him. The two admitted they still loved each other, and for the first time, Danny saw her potential firing as a positive. If Xander was no longer her boss anymore, maybe they could start fresh. Xander assured her that once his parents found out she knew their big Kennedy secret she’d never be fired. But he liked the idea that they could start over, too.
Out in the hall, Harper (Jessy Yates) caught Elijah watching Danny and Xander’s tender moment through the window. She encouraged him to tell Danny how he felt about her, but Elijah continued to deny what anyone who watches this show knows to be true: HE’S CRAZY ABOUT HER!

After Xander’s chat with Danny, he learned that Kathryn and the baby were on their way to recovery and told Vogel the good news. Meanwhile, Dr. Cole was still navigating a major mess of his own making.
He confronted Cass about what happened with Soriano and she rightfully let him have it. She said she looked stupid for believing in him and that he didn’t have anything in the bank: “When you treat people decently, you’re putting a coin in the bank. When you do something selfless, that’s a coin in the bank. You need to have something in the bank, Tom.”
Dr. Cole took her words to heart, but he couldn’t let go of Nia quite yet. He went to check on her one last time, but Dr. Soriano found him and warned, “If you have any interest in a career in medicine, you’ll stay away from her in every sense of the word.” He advised Cole to “pray and get out,” because whether Nia lived or died, her family had legal grounds to question their treatment of her and sue.
Cole’s next stop? Telling Chan (Chelsea Muirhead) he took her off the surgical shift. With Camila’s (Daniela Nieves) words running through her head, Chan finally challenged her superior, asked what his problem was, called him out for never encouraging her, and revealed that Camila would rather leave the hospital than deal with him. Cole agreed with everything she said and explained that he changed her schedule so she wouldn’t have to work with him. Little did Chan know, Camila was proudly watching the exchange, and it helped her decide to cancel her transfer petition.

Before Camila left for the day, Chan caught up with her by the door and returned her lost earring, which she went to great lengths to track down. The two shared a sweet, semi-romantically charged moment, which ended ABRUPTLY when Camila’s FIANCÉ (!!!) Rodrigo brought her flowers and left Chan shocked and visibly flustered.
The finale was a roller coaster of emotions for Dr. Cruz as well. On one hand, her daughter Vero finally left the hospital happy and healthy. On the other hand, Dr. Sanchez would be sharing responsibilities and working closely with her in the future, which she hated. Dr. Sanchez briefly caught up with Xander and we learned they had bad blood, too. After learning that Xander would be an attending, Sanchez essentially called him a nepo baby, and Xander told Sanchez he was always his least favorite attending. Ouch.
One thing Sanchez asked of Cruz was to keep him in the loop on her choice for Chief Resident, and after witnessing Danny’s recent stand-up leadership, Cruz pulled her aside and told her they planned to announce that she would be Chief next year at a big end of year bash.

Before the finale ended, the Pulse crew headed to the pool to kick back, relax, and celebrate their hard work. After Cruz let Sanchez know she chose Danny for the job, she made a speech announcing the ER and surgical departments would be split next year. “I will remain chairman of surgery, and the ER will be getting a new interim chairperson…Sanchez,” she said.
Xander’s face dropped after realizing his work nemesis just nabbed a promotion, and it fell even more when Sanchez announced that next year’s new Chief would be….Dr. Samuel Elijah. Everyone — especially Elijah, Cruz, and Danny — were shocked. After hugging her pal, Danny excused herself and Cruz followed to apologize profusely. Danny headed to the beach where Xander found her and revealed he went to the hospital review board and told them everything. Sure he might get sued, lose his license, and feel the wrath of his parents, but he decided, “I don’t give a shit. It was the right thing to do. So I did it. This girl I really like said that one time — I’m trying to be more like her.” What a line, man. What a line.

Riding his Chief high, Elijah left the party, headed back to the trauma center, and got right to work. As he was setting up his office, multiple speedboat collision traumas came in and he was asked to start his duties early. “Let’s go, baby!” he said. While Danny wasn’t Chief, she ended the season with her own sense of satisfaction and floated in the ocean with a massive weight off her shoulders. Is that the end for Pulse or will Netflix renew the medical drama for a Season 2? Stay tuned.
Pulse Season 1 is now streaming on Netflix.