Injury 43 (7): 1176 - 1181, 2012. doi: 10.1016 / j. injury.2012.03.022 Evaluation of Fractures Evaluation for serious injuries History and physical examination X-rays to identify fractures Sometimes MRI or CT In the emergency department, if the mechanism of injury suggests potentially severe or multiple injuries (eg, a high-speed motor vehicle crash or fall from a height), patients are first evaluated from head to toe for serious injuries to all organ systems and, if needed, are resuscitated (see Approach to the Trauma Patient).