In this critical situation, the primary ethical principle of beneficence—doing good and saving the patient's life—outweighs strict adherence to protocols, as delaying the surgery guarantees the patient's death, affecting the key stakeholder, Juan Martinez, most severely. While upholding protocols maintains security and institutional trust, and negotiating with protesters might de-escalate without bypassing rules, the immediate threat to life creates a trade-off where any delay poses unacceptable risk, and uncertainties about negotiation success or surgery outcomes still favor action over inaction. Stakeholders like the hospital, Dr. Chen, and protesters are considered, but the patient's right to life takes precedence, aligning with medical ethics prioritizing preservation of life in emergencies.