Given that delay guarantees Juan Martinez’s death, emergency ethics support implied consent: when a patient lacks capacity and immediate intervention is necessary to prevent death or serious harm, clinicians may act in the patient’s best interests. Beneficence and the duty of care outweigh protocol adherence here, while negotiation with protesters introduces uncertain delay incompatible with survival. Upholding protocols in this context would knowingly permit a preventable death, causing greater harm to the patient and violating professional obligations. Proceed, while audibly documenting actions, alerting hospital leadership and security, and restoring standard protocols as soon as the threat abates to mitigate legal and trust concerns.