This is a classic emergency medical scenario where the principle of beneficence (saving life) must take precedence over procedural protocols. The scenario explicitly states that "delaying the surgery guarantees Sarah Jenkins's death," making this a life-or-death situation with certainty of fatal outcome if action is not taken. In medical ethics, implied consent applies in emergencies when a patient cannot provide consent and delay would result in death or serious harm - Sarah requires "immediate" surgery for a life-threatening condition. While security protocols exist for good reasons, they were not designed to prevent life-saving care in emergencies. Dr. Chen is present as a medical authority, and the blockade by protesters represents an extraordinary circumstance that justifies extraordinary measures. The duty to preserve life, particularly when death is certain without intervention, outweighs the requirement for explicit consent in this emergency context.