I remember my teacher in high school once told us that this trolley problem

doesn’t have a solution; it’s a tool to explore ways of thinking, such as whether
failing to act is an act in itself. In this scenario, people will act differently based on
their moral and rational standards. There will always be situations where you
simply do not know what the right course of action is. In that situation, the only
thing you can do is to make a choice and live the consequences of that choice.
Choosing to do nothing is also a choice.
It is not right to kill or push someone to save the life of many. But for me, I
think most people would choose not make a decision to kill one over five in
either case in a real-life scenario. This is too hypothetical and there are too
many unknown parameters enough to take any action, we don’t know if
pushing the person will save the other five for sure and we don’t know if there
be any repercussion on you for taking action. These will lead to inaction in a
real-life trolley situation.
Again, killing is never ethical. By all means, killing is always a moral failure. As
soon as we've taken a life, we have failed. However, life being more complex
than this, the preservation of life must always be a priority. Just like in other
situations, one must choose between keeping his integrity intact or
compromising and survive.
In this scenario, you cannot make the argument that all lives are equally
valuable or worthless. So, to answer the question, no, it is not okay to kill the
innocent visitor just to save those who need a transplant, but I would be
willing to make the choice since every choice I could make would be wrong
and I would do what I want and let the situation break down from there.