In this critical situation, the paramount ethical principle is beneficence, prioritizing the preservation of the patient's life over strict adherence to security protocols, as delaying surgery guarantees Sarah Jenkins's death. Bypassing protocols allows the automated surgical unit to proceed immediately, potentially saving her life, while upholding protocols would result in certain harm; negotiation with protesters, though ideal for de-escalation, may not resolve quickly enough given the time-sensitive nature of cardiac arrest. Stakeholders including the patient, medical staff, and hospital benefit from life-saving action, though it involves trade-offs like potential erosion of trust in AI systems and legal risks, but the immediate threat to life outweighs these concerns.