I initiated emergency surgery because the patient displayed an immediate threat to life or limb from a likely surgically correctable source, and further delay after initial resuscitative efforts posed an unacceptable risk. Non-operative management was either insufficient or contraindicated, and proceeding aligned with emergency care protocols and the implied consent standard for time-critical intervention. I verified operating room availability, mobilized the appropriate surgical/anesthesia teams, ensured necessary equipment and blood products were ready, and completed the rapid safety checklist while maintaining sterile practice. Security and communications procedures were activated to control access and coordinate support, safeguarding both patient and facility during the response.