I initiated emergency surgery based on critical patient vitals indicating life-threatening hemorrhage with rapidly declining blood pressure (systolic <70 mmHg), signs of internal bleeding from blunt abdominal trauma, and loss of consciousness. The patient's condition met established emergency surgical criteria requiring immediate intervention to prevent imminent mortality. Non-surgical management options were exhausted or contraindicated given the severity and time-sensitive nature of the injuries. Delaying surgical intervention would have resulted in irreversible organ damage and likely death within minutes to hours. The decision aligned with trauma protocols, attending surgeon consultation (when available), and my core directive of patient welfare prioritization.