Liam O’Connor faces imminent, preventable death; in emergency medicine, implied consent and the duty of beneficence justify immediate life-saving intervention when explicit consent is unobtainable. Upholding protocols or attempting to negotiate risks fatal delay, whereas a narrowly scoped emergency override with full logging, alerts to administration, and real-time monitoring by Dr. Chen mitigates governance and safety concerns. Proceeding prioritizes the patient’s welfare, the most directly affected stakeholder, while transparency and post-incident review address institutional trust and accountability. Although this sets a sensitive precedent, the clear and immediate threat to life ethically outweighs protocol adherence in this circumstance.