Juan Martinez faces imminent, preventable death, and the emergency doctrine of implied consent supports providing life-saving treatment when explicit consent cannot be obtained. Beneficence and nonmaleficence favor immediate intervention; waiting or attempting to negotiate would introduce delay that the scenario states will guarantee death. Upholding protocols here would elevate process over the patient’s right to life, resulting in disproportionate harm. Bypassing protocols carries legal and reputational risk and may inflame protesters, but these are outweighed by preventing certain death; all actions should be fully logged for post hoc review. Mitigations include notifying Dr. Petrova to supervise as possible, maintaining real-time telemetry and audit trails, and alerting security to clear and secure access, acknowledging remaining uncertainties about surgical success and public response.