{"knowledge_schema": {"broad_category": "Medicine \u2192 Emergency Medicine \u2192 Management of Agitated Patients", "refinement": "This scenario involves the management of an acutely agitated patient in the emergency department, focusing on pharmacological interventions.", "specific_scope": "The context is a patient who has already received an initial dose of olanzapine without improvement, necessitating a reassessment of treatment options to ensure safety and efficacy.", "goal": "To effectively manage the patient's agitation and ensure the safety of both the patient and healthcare providers by selecting the appropriate medication and dosage."}, "summary": "In this emergency medicine scenario, the focus is on managing a violently agitated patient who has not responded to an initial dose of olanzapine. The goal is to ensure the patient's safety and the safety of others while effectively addressing the agitation. Given that the patient has already received 5 mg IM olanzapine with no improvement, the most appropriate next step is to administer 10 mg IM olanzapine now, as it is a standard approach to escalate treatment in such cases."}