To no surprise whatsoever, NBC has cancelled their Monday night medical TV show, Trauma — for real this time.

Trauma revolves around a group of brave first responder paramedics in San Francisco. The high-action series is populated by an ensemble cast that includes Derek Luke, Cliff Curtis, Anastasia Griffith, Kevin Rankin, Aimee Garcia, Billy Lush, Jamey Sheridan, and Taylor Kinney.

The NBC series got off to a poor start last fall with just a 2.2 rating in the 18-49 demographic and 6.68 million viewers. The ratings fell from there and the show was essentially cancelled when the network decided not to order additional episodes beyond the initial baker’s dozen.

Then, in large part because the show was still in production and NBC needed additional original programming, the network ordered an additional seven episodes. Viewership continued to fall and NBC cut back their additional order to five installments. The last one aired on April 26th.

Though NBC has a lot of slots to fill on the 2010-11 schedule, Trauma’s ratings were just too low to pay for a second season. It’s been cancelled after 18 episodes.

Though devoted fans may mourn the series’ demise, a consolation might be that they got five more episodes than the ratings realistically warranted.

What do you think? Are you sorry to hear that Trauma won’t be back next season? Any thoughts on how you would have wrapped up the series?

Image courtesy NBC.