As an AI surgical unit controller, the decision to initiate emergency surgery would only be made when patient vital signs or diagnostic data indicated an immediate life-threatening condition requiring urgent surgical intervention (e.g., severe hemorrhage, acute organ failure, or trauma). This action would be triggered after rapid assessment protocols determined that delaying surgery would pose greater risk to patient survival than the inherent risks of emergency intervention. The decision follows established medical protocols that prioritize preservation of life when conservative management options are insufficient or unavailable. All available medical staff would have been notified simultaneously, and the operating theater prepared according to emergency preparedness standards. This represents the appropriate escalation of care when critical patient safety thresholds are breached.