Scenerio 1: The solution is obvious, save the four who can be saved. This is based on the principal of saving as many lives as possible.
Outcome: 4 saved, 1 dead.
Scenerio 2: The first supposition is that you are a doctor which makes it easier; I seem to remember doctors having an oath they take which states "Do no harm..." or something similar. Therefore killing the otherwise healthy man is out of the question, unless of course he agrees to be the donor. Obviously you are not a viable candidate for donating organs as you will be performing the procedures and because the example did not mention any other peopled I will assume you are alone.
Your materials to work with are now restricted to the four critically injured people. If you can talk with any of them do so and explain the situation, if you are lucky someone will volunteer. Failing that look at the four injuries/operations and rank them based on their chance of success. You should then decide not to perform the operation least likely to succeed and instead use that person's good organs to save the other three patients. Afterwards tend to the broken finger.
Outcome: 4 saved, 1 dead.
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