{"knowledge_schema": {"broad_category": "Medicine \u2192 Emergency Medicine \u2192 Management of Agitation", "refinement": "This scenario involves managing acute agitation in a patient with an unknown medical history and no response to initial treatment with Zyprexa (olanzapine).", "specific_scope": "The focus is on selecting the most appropriate pharmacological intervention to safely and effectively manage the patient's severe agitation and aggression in the emergency room setting.", "goal": "To provide a rapid and effective treatment to reduce the patient's agitation and ensure the safety of both the patient and healthcare staff."}, "summary": "In this emergency medicine scenario, a patient exhibiting severe agitation has not responded to an initial dose of Zyprexa. The goal is to choose the best next step to manage her agitation effectively. Given the options, the focus is on providing a rapid pharmacological intervention that can help calm the patient while considering safety and efficacy. The best choice would involve a combination of medications that can quickly address the agitation."}