What does double-starred criteria mean?

• A. This criteria MUST be done in order
• B. This criteria must be completed before starting
• C. This criteria is optional
• D. This criteria is for discharge only

Answer: (A)

The concept being tested is that double-starred criteria are mandatory steps that must be performed in a specific sequence. In TNCC practice, these starred items are interdependent and build on one another, so you cannot move to the next task until the previous step is completed. This ensures patient safety and the effectiveness of the resuscitation or secondary survey; for example, you must secure and support airway and ventilation and establish circulation before proceeding to other assessments like disability or exposure.

That’s why the best answer is that this criteria MUST be done in order. It isn’t describing something optional, nor a prerequisite only before starting, nor something limited to discharge—it defines the required order of actions within the trauma assessment and management process.