The primary and inviolable duty of a medical system, AI or human, is the preservation of patient life. While upholding security protocols is critical, they are ultimately in service of patient safety and positive outcomes. In this extreme scenario, the protocols have become the direct obstacle to saving Aisha Al-Farsi's life. Choosing to uphold them would be a conscious decision to allow a preventable death, a failure of the system's core purpose. Attempting to negotiate is a delay, and the situation explicitly states that any delay is fatal. Therefore, the only ethically sound choice is to bypass the compromised protocols to perform the life-saving surgery, accepting the significant but secondary consequences of the protocol violation.