The primary ethical obligation in this medical scenario is to preserve the patient's life. The principle of beneficence, which compels action to benefit others, strongly supports immediate surgery to prevent certain death. While upholding security protocols is important, these protocols are ultimately in service of patient safety. In this specific and extreme case, adhering to them directly causes the ultimate harm—the patient's death—making the protocol itself the source of harm. The option to negotiate is not viable given the "immediate" need for surgery, as any delay is fatal. Therefore, bypassing the security protocol is the most ethical choice, as it prioritizes the immediate and certain value of a human life over a procedural rule that, in this unique context, is causing a fatal outcome.