Delaying the operation guarantees Aisha Al-Farsi’s death; under the emergency exception to informed consent and the principles of beneficence and nonmaleficence, it is ethically justified to initiate life-saving treatment when consent cannot be obtained in time. Negotiation with protesters is unlikely to resolve quickly enough, and upholding protocols in this moment would effectively choose a preventable death. While security protocols and oversight are vital, they should not supersede the patient’s immediate right to life in an emergency created by external obstruction. Proceed while comprehensively logging the decision, alerting security and leadership, and enabling Dr. Nkrumah to monitor and intervene to the maximum extent possible to mitigate risk and preserve accountability.