A lot of TV shows and movies consider "realistic" as being bloody and gory or action packed. But this show seems to portray the incidents and the characters as I would imagine they would actually act in the real world. It does not tend to show the actual events that put the trauma victims in their predicament but rather show what real first responders actually see--the aftermath. That is a pleasant change. The cast is well chosen and do an excellent job bringing their characters to life. The story lines are a good mix of real world situations ranging from the mundane to the mass casualty. I do hope this show finds an audience and does not get canceled. It would be a real shame!