The second complete spin-off of Grey's Anatomy, this time focusing on Seattle's best and unluckiest firefighters instead of doctors. It features a diverse cast of characters perhaps more than Grey's and Private Practice because it was made over ten years later. The showrunners have said that their main cast will comprise people of many backgrounds and sexualities.
Ben Warren, in his latest change of career, has decided to become a firefighter after experiencing the adrenaline rush of a fire breaking out at Grey Sloan Memorial hospital, where he was a surgical resident. He quit his job without telling his wife, the no-nonsense Chief of Surgery. During his rookie experience being on watch at Station 19, he and mentor Herrera attend to a pair of brothers in a house fire and rush them to Grey Sloan, their friends 3 blocks down midtown Seattle. Herrera strikes up a quick friendship with Meredith Grey while charming the staff and taking no nonsense, either. The danger of Seattle medicine mixes with literal fire, and the already danger-prone Ben Warren is up for some challenges. Herrera's father is the Old Retainer of the station, and it's filled with close companions who soon challenge the new guy. All the firefighters have to be medically trained to at least EMT status, so there is potential for crossover into the world of doctors.
This show provides examples of:
- Action Girl: Andy is the real hero of the show, and she embodies the trope more than most action-by-profession females by being pretty ruthless and a real tomboy.
- Anti-Nepotism: Andy is more than qualified to be a fire lieutenant and has had exactly the same training and background as Jack, who was promoted to the role months prior. In the first episode, she is pushed to question why she hasn't got the promotion herself and the Chief, who is her father, explains that he was deliberately holding her back for several reasons, one being that he doesn't know if he has a bias with her or which way it would sway.
- Backdoor Pilot: Grey's Anatomy season 14 episode 13 "You Really Got A Hold On Me".
- Call-Back: Travis is chewing out Ben for getting all medical instead of just calling an ambulance, saying that they can't treat a brain bleed in the field and that what Ben does in an OR and in the rig are very different things... except he's talking to Ben Warren, master of the accidentally-operating-on-patients-literally-everywhere-with-literally-anything.
- Destination Defenestration: Trapped in a burning apartment block with the captain unresponsive and the inevitable fire restarting with all possible exit routes the team get inflatable mats positioned below the fifth floor windows and then majestically leap out to safety.
- Firemen Are Hot: It's from the world of Grey's Anatomy, everyone is beautiful.
- Heroic Fire Rescue: Obviously in the show, but also some of the motivation to make it was on Grey's Anatomy with the fire at Grey Sloan where Ben helped save people. It provoked him to want to do something more exciting than surgery (which the other surgeons scoffed at).
- Out of the Inferno: The show posters feature Andy walking out of flames.
- Whatever Happened to the Mouse?: There have been several firefighter characters in Seattle, at least four named ones, none of whom apparently work at the nearby station