This article contains spoilers for the season finale of PulsePulses season finale might not be quite as shocking as the season opener its hard to beat the devastation of a hurricane but the conclusion of this Netflix medical drama does a great job of wrapping up a lot of plot threads while leaving things open for a potential second season to pick up on.Heres everything you need to know from the Pulse season finale, and what it means for the future of Maguire Medical Center and its staff.Why Did Xander Leave Kennedy?Xander tells Danny the real reason he left Kennedy was to give her ammo against his parents. Xanders parents, especially his mother, are leading the charge to get her fired from Maguire even though she withdrew her complaint against Xander. Even though it breaks his NDA, Xander tells her that he was responsible for the death of a patient.The ER at Kennedy was slammed, but Xander still tried to help a longtime patient of his, Julio, who came in for a paracentesis. Because he had recently started college, he was overdue for the procedure, which was usually done through his GI doctor. Julio and his mother plead with Xander to relieve the internal pressure hes feeling, Xander agrees, and tries to hide it from his supervisor, Dr. Broussard. When she catches him, she insists he try to finish the procedure as soon as he can to free up the bed for more emergent patients. He asks for an ultrasound, both of which are currently in use, and she insists that under her supervision he can do this basic procedure without one, even though hes never done it before. He completes the procedure and discharges Julio, but later that night Julio returns.His mother is distraught, bringing him to the ER in a panic, saying he collapsed as soon as they got home. Xander rushes to treat him, coming to the conclusion that he did the procedure wrong and Julio bled out into his abdomen. Julio crashes, and despite Xander and the staffs best efforts, they arent able to revive him. Xanders parents swept this under the rug, partially to protect his career, but mostly to not ruin theirs.At the end of the episode, Danny promises Xander that despite not getting Chief, shes not going to reveal what he told her to anyone. Xander tells her that doesnt matter because he decided to go to Maguires hospital board to tell them everything. He doesnt want that mistake hanging over his head anymore, even if that means getting sued or losing his medical license.Does Danny Get Fired From Maguire?After shoving a belligerent patient, Danny is told by Dr. Cruz that shes on thin ice with the hospital. Dr. Cruz is being strongly encouraged by higher ups to let Danny go if she wants to keep control of surgery and the ER. Danny does her best to keep her head down and do her job, which soon includes treating the very man who was threatening her. Danny helps to save him, his wife, and his child, whom he injured by speeding across train tracks, despite the fact that he continues to badger her and almost refuses care entirely.Seeing how compassionate Danny is, even with patients who dont necessarily deserve it, Dr. Cruz stands strong in her decision to keep Danny on, and even tells Danny that shes her choice for Chief Resident.Does Camila Leave Maguire?Sophie is surprised to learn that Camila has put in a request to leave Maguire and transfer to another hospital for her next rotation. Camila tells Sophie that its because she cant stand the way that Tom treats her and doesnt want to suffer the same fate as a surgical intern. This inspires Sophie to finally stand up for herself against Tom, a conversation that Camila happens to overhear.Proud of her friend, and inspired by Dr. Cruzs words of encouragement she hears soon after, Camila decides to stay a fact that she doesnt reveal to Sophie until after Sophies heartfelt plea. It seems like there might be something more between these two friends, until we finally meet Camilas fiance.Join our mailing listGet the best of Den of Geek delivered right to your inbox!Who Becomes Chief Resident?The episode ends with a hospital-wide party meant to usher in the next era of Maguire as the student staff members transition to their next stations. As mentioned previously, Dr. Cruz is being pressured to let Danny go in order to keep the surgery and ER departments both under her control. But because she decides to keep Danny on, she announces at the party that the ER will now be under the management of Dr. Patrick Sanchez (J.R. Ramirez), who has been one of the many people trying to convince Dr. Cruz that Danny shouldnt be Chief Resident.Because of this, instead of announcing Danny as Chief as Dr. Cruz intended, Dr. Sanchez blindsides them and announces that Dannys friend, and competitor, Sam Elijah will be Chief Resident.All 10 episodes of Pulse are available to stream on Netflix now.