An 18-month-old girl is brought in to the ED by ambulance after her grandmother was unable to wake her from an unusually long nap. The grandmother reports that the child had not been ill that morning. After repeated questioning, she admits that the child was found earlier in the day holding her pillbox. She does not have the pillbox with her and does not remember the names of all of her medications. On examination, the child is breathing shallowly. In response to painful stimuli, the girl moans and withdraws, but does not open her eyes.
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