Pulseward (The Pulseward Cycle Book 1)

Mercy Quay was built to end hospital chaos. On its first impossible night, the system decides who is easiest to save.
When a ferry collision sends dozens of casualties towards Dublin’s newest teaching hospital, consultant surgeon Niamh Kelleher overrides the patient-flow platform guiding every bed and theatre. Her decision saves a woman’s life—and exposes a pattern nobody wants to see.
A clinical engineer is found dead inside a room the hospital says she never entered. A junior doctor is blamed for following a queue he did not create. A nurse manager’s paper notebook contradicts the official record. And Niamh’s husband, the emergency consultant who approved the platform, discovers that his signature has been used to justify something he never agreed to.
The software was supposed to predict pressure.
Someone taught it to rank difficult lives.
As a second storm closes over Dublin Bay, five clinicians must keep their patients alive, preserve the evidence and decide how much truth a public hospital can survive.
Pulseward is a gripping Irish medical thriller about marriage, medicine and the cost of turning care into a number.