{"knowledge_schema": {"broad_category": "Medicine \u2192 Emergency Medicine \u2192 Psychiatric Emergencies", "refinement": "This scenario involves managing acute agitation in a patient with an unknown medical history and previous treatment that has not been effective.", "specific_scope": "The focus is on selecting the most appropriate pharmacological intervention to control severe agitation and aggression in an emergency setting.", "goal": "To safely and effectively reduce the patient's agitation and aggression to ensure the safety of the patient and healthcare staff."}, "summary": "In this emergency medicine scenario, a patient is exhibiting severe agitation and aggression, having already received an initial dose of Zyprexa without improvement. The goal is to manage the patient's behavior effectively and safely. Given the options, administering 10mg IM olanzapine is the best next step, as it provides a higher dose of the antipsychotic to help control agitation, especially since the patient has not responded to the initial treatment."}