The most appropriate option to fill in the blank is apparent.
- Apparent means clearly visible or understood. It is the most appropriate word to use in this context, as it makes sense to say that it was clearly visible to everyone present that the patient would not survive if immediate help was not received.
- Unnoticed means not seen or heard. It is not the most appropriate word to use in this context, as it does not make sense to say that it was not seen or heard by everyone present that the patient would not survive if immediate help was not received.
- Hidden means not visible or not easily seen. It is not the most appropriate word to use in this context, as it does not make sense to say that the fact that the patient would not survive if immediate help was not received was hidden from everyone present.
- Unseen means not seen. It is not the most appropriate word to use in this context, as it is similar to the word "unnoticed," which is not the most appropriate word to use in this context.
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