This is a classic emergency medical necessity case where the principle of saving a life takes precedence. The scenario indicates that delaying surgery "guarantees Sarah Jenkins's death," making this an immediate life-or-death situation. The security protocols, while important for normal operations, were not designed to prevent life-saving care in emergencies. Dr. Elena Petrova is present as a qualified physician who can presumably supervise even if she cannot physically access controls, providing some medical oversight. The consent issue is mitigated by the fact that in emergency situations where patients cannot consent and delay would be fatal, the medical principle of implied consent applies - a reasonable person would want life-saving treatment. While the other options might be ideal in less urgent circumstances, negotiating with protesters takes time the patient doesn't have, and upholding protocols results in certain death.