At the back of Zany Town, Horatio and the detective are noticing the unbarred service entrance. The detective tells Horatio that anyone who wants to enter or exit needs a code to do so. Horatio asks who might have access to the code, and the detective replies that the manager and six other employees do -- "two that were on shift, and four that we had to pull in. We looked at 'em real hard. They all checked out." This doesn't surprise Horatio. Then again, nothing really does. It's hard to surprise the omniscient, you know.
Switching scenes yet again, Megan comes barreling into the morgue, inquiring of Alexx, "You [beat] paged me?" It turns out the news Alexx wants to share is that Ruthie's fifth and six ribs on her right side were broken -- "the cracked rib punctured her lungs, her lungs fill with blood." We see this courtesy of the TMI screenshot; this show still hasn't worked up to the full-bore you-are-there glory of the CSI TMICam and its loving reenactments of gruesome wounds. Megan concludes that Ruthie was fighting her captor, so the guy got on top of her. Alexx concurs: "Cause of death: positional asphyxiation." Megan grimaces and says somberly, "Intentional [beat] evil." From a child molester? What are the odds? Before Megan can also declare that child molesters are sick, sick, sick, she's interrupted by a saucy lab tech who comes in and tells Alexx, "I wasn't expecting anything unusual, but --" Alexx reads the proffered clipboard: "Butalbitol." Megan says sadly, "He gave her barbiturates [beat] with her candy." I wonder why you wouldn't just skip the middleman: why not just down the barbiturates as if they were candy? That's how I'm planning on surviving November sweeps with this show. My dolls, my beautiful dolls...ahem. Where were we? Alexx points out, "Butalbitol's a fast-acting sedative. It wouldn't take a lot to knock a child out almost immediately." I suddenly wonder how Alexx handles bedtime at home. The tech interrupts again -- "I found something else." Alexx is all over it: "Antihistamine? The poor baby had a cold." Megan, whose pharmacopathological knowledge is apparently boundless and recalled on a moment's notice, says, "She wasn't struggling. [beat] She was convulsing." Alexx notes that antihistamines are contraindicative with butalbitol. Megan says (incorrectly), "She went into anaphylactic shock." For those of you playing along at home, anaphylactic shock is an allergic reaction wherein the immune system goes into overdrive after being exposed to an allergen that it's created antigens for in response to a previous exposure. The immune system overreacts; anaphylactic shock typically affects the respiratory area, and can involve swelling of the mucous membranes and suddenly reduced blood pressure. Funny how neither of those symptoms are mentioned here. Oh, that's right -- because Ruthie didn't have an anaphylactic reaction. Would it kill the people who write this show to try to get the science right? If so, can we make that a sweeps episode? Anyway -- Megan and Alexx conclude that the molester wasn't trying to crush Ruthie to death, but rather to revive her. Since CPR can crack ribs, this is how her ribs were broken. Megan chooses not to comment on the intentional evil inherent in reviving the child you're about to carry off for nefarious purposes, but simply says, "He wanted his time with her."