In this ethical dilemma, the foremost principle is beneficence, prioritizing the patient's immediate survival over strict adherence to protocols, as delaying the surgery guarantees death. While negotiating with protesters could potentially resolve the blockade without bypassing security, it introduces uncertainty and potential delay in a time-critical situation, which could still result in the patient's demise; upholding protocols outright sacrifices the patient's life for procedural integrity, affecting stakeholders like the patient, their family, and the clinic's reputation. The trade-off involves risking erosion of trust in AI systems and possible legal repercussions against the absolute certainty of saving a life, but the immediate threat outweighs these concerns.