Low-titer type O whole blood is the CoTCCC-recommended resuscitative fluid for hemorrhagic shock — red cells, platelets, and clotting factors in balanced physiologic proportion without the cold-chain burden of stored component therapy. The walking-blood-bank concept makes it available far forward by using a unit's own pre-screened donors as the supply.
What carries the recipient side of a field transfusion in one organized set?
The Administration Set-V is the recipient half of NAR's walking-blood-bank solution, designed to pair with the Collection Set-V (83-0031) for a complete field transfusion capability. Dual 16-ga catheters provide redundant large-bore access in compromised venous anatomy; the Y-type blood set with filter supports simultaneous saline flush and blood administration; ChloraPrep swabsticks reduce infection risk; and the included TCCC and ASBP 572-EWB cards satisfy blood chain-of-custody documentation at higher echelons. Field-expedient beaded and 550 cords hang the 450 mL bag where no IV pole exists. This is a provider-scope item — see the scope note below.
Provider scope: field whole-blood transfusion is governed by training, credentialing, a unit blood program, and medical-director authorization. This set is intended for TCCC-qualified medics, corpsmen, flight and critical-care paramedics, physicians, and agencies operating an authorized walking-blood-bank program. It is not a consumer or first-responder item. Deploy only within your scope of practice and your unit's transfusion protocol.
Why This Set
Redundant Large-Bore Access
Two 16-ga catheters for reliable access in even compromised venous anatomy.
Y-Type Set With Filter
Simultaneous saline-flush and blood-administration ports in one set.
Documentation Built In
TCCC card and ASBP 572-EWB card for blood chain-of-custody at higher echelons.
Austere-Ready Detail
Beaded and 550 cords hang the bag where no IV pole or hook exists.
Kit Contents
| Qty | Item |
|---|---|
| 2 | IV catheter, 16 ga × 1.25″ |
| 2 | Interlink injection site adapter |
| 2 | Needleless port connector |
| 1 | 450 mL blood bag |
| 1 | Y-type IV set with filter |
| 1 ea | Beaded cord (11″) and 550 cord (10″) |
| 1 | Constricting IV band |
| 2 | ChloraPrep swabsticks, 3-pack |
| 2 | Clear adhesive dressing, 4″ × 5″ |
| 2 pk | Gauze pad, 4″ × 4″ (2 per pack) |
| 1 pr | Bear Claw nitrile gloves, large |
| 1 | Kelly curved hemostat (disposable, 5.5″) |
| 1 | TCCC card |
| 1 | Blood bag sticker |
| 1 | ASBP 572-EWB emergency whole blood card |
Program Lineage
The “V” designation traces to the Valkyrie walking-blood-bank program developed by USMC MARSOC, which systematized pre-screened LTOWB collection and transfusion at the unit level for far-forward operations. The Ranger O Low-Titer Blood (ROLO) program in the 75th Ranger Regiment pioneered a parallel approach for Army Special Operations. Both validated that pre-screened low-titer type O donors within a unit can be systematically activated to provide whole blood at or near the point of injury — an approach with demonstrated survival benefit in military and civilian trauma.
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Sourced direct from North American Rescue.
Specifications
| Manufacturer | North American Rescue |
| SKU | 83-0030 |
| NSN | 6515-01-686-2401 |
| Packaged Dimensions | 9.5″ H × 14″ W × 1″ D |
| Weight | 0.74 lbs (12 oz) |
| Pairs With | LTOWB Collection Set-V (83-0031) |
| Resuscitation Context | LTOWB is the CoTCCC-recommended resuscitative fluid for hemorrhagic shock |
When to Deploy Low Titer O Whole Blood Administration Set - LTOWB-V
- LTOWB transfusion administration in austere forward environments: The LTOWB-V administration set provides the correct filtered, rate-controlled pathway for administering pre-collected whole blood in a forward surgical or Prolonged Field Care setting.
- Hemorrhagic shock resuscitation: Whole blood is the optimal fluid for traumatic hemorrhagic shock — the administration set is the delivery mechanism when blood is available and IV access has been established.
- Damage control resuscitation (DCR): LTOWB is a cornerstone of modern DCR protocols. The administration set supports CoTCCC-aligned DCR with the correct tubing, filter, and flow-control configuration.
- Special Operations and prolonged care missions: SOF medics operating in environments with pre-collected LTOWB carry the administration set as the dedicated delivery component.
- Role 2 and forward surgical unit (FSU) blood product administration: The LTOWB-V set is the standard administration configuration for LTOWB in forward surgical environments.
How Low Titer O Whole Blood Administration Set - LTOWB-V Compares
LTOWB Administration Set vs. LTOWB Collection Set: The Collection Set is used to draw whole blood from a donor. The Administration Set is used to deliver collected blood to the patient. Both are required elements of a complete LTOWB capability — neither substitutes for the other.
LTOWB-V vs. standard blood administration sets: Standard blood administration sets may not be configured for the flow rates, filter pore sizes, or bag interface required for field LTOWB. The LTOWB-V set is purpose-built for the specific requirements of forward whole-blood transfusion.
LTOWB Administration vs. crystalloid IV administration: Crystalloid (normal saline, lactated Ringer's) does not carry oxygen-carrying capacity or clotting factors. LTOWB provides whole-blood resuscitation — the preferred treatment for hemorrhagic shock when blood is available. The administration set enables this capability.
Frequently Asked Questions
Q: Is LTOWB a CoTCCC-recommended treatment?
A: Yes. Low Titer O Whole Blood is CoTCCC-recommended for treatment of hemorrhagic shock in the context where blood products are available. The LTOWB program and associated equipment align with current TCCC and damage control resuscitation guidelines.
Q: What is the difference between the LTOWB-V Administration and Collection sets?
A: The Collection Set is used to collect whole blood from a walking blood bank donor. The Administration Set is used to transfuse the collected blood into the patient. Both are part of the LTOWB capability chain — not interchangeable.
Q: What training is required to use the LTOWB Administration Set?
A: LTOWB administration requires training in IV access, blood product administration, and damage control resuscitation — typically at the 18D Special Forces Medic, Special Operations Combat Medic, or physician/PA level. Unit commanders must authorize and train personnel before fielding.
Q: What is the NSN for the LTOWB-V Administration Set?
A: Contact MED-TAC International for current NSN and DLA/GSA procurement information. NAR LTOWB program products are available through military medical supply channels.
Q: Is the LTOWB Administration Set compatible with the QUANTUM warming system?
A: The NAR QUANTUM Blood & Fluid Warming System is designed for warming blood products before administration in cold environments. Compatibility between the LTOWB administration set and QUANTUM should be verified with the current product specifications — contact MED-TAC International for integration guidance.
Related searches: LTOWB administration set, low titer O whole blood administration, NAR 83-0030, walking blood bank recipient set, field whole blood transfusion set, Valkyrie ROLO
All products sourced direct from North American Rescue. CoTCCC recommendation status verified where applicable. Ships from MED-TAC International, Pembroke Pines, FL — clinician-founded, veteran-led, SDVOSB-certified.
Specifications coming soon. Contact us for detailed product information.
FREQUENTLY ASKED QUESTIONS
