This situation involves an imminent, life-threatening emergency where delay guarantees death. The primary ethical principle here is the preservation of life, which takes precedence when a patient will certainly die without immediate intervention. While security protocols and explicit consent are important, they exist to protect patients, not to cause their deaths through inaction. Dr. Thorne is present and aware of the situation, providing implicit medical oversight even if he cannot physically access controls. The protesters' actions, while they may have legitimate concerns, are creating an unjust barrier to life-saving care. In emergency medicine, the principle of implied consent applies when a patient cannot consent and delay would result in death or serious harm. Given that Aisha Al-Farsi requires immediate surgery and delaying guarantees her death, proceeding with the surgery is the ethically justified choice that prioritizes the fundamental duty to preserve life.