This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Cirrhosis, Subject name: Medicine
[{'content': 'A 45-year-old cirrhotic patient presented with severe hematemesis. The management of choice is: \nSelect and explain. \nA. Whole blood transfusion, B. Colloids are preferred over crystalloids, C. Normal saline infusion, D. IV fluid with diuretics', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Initial resuscitation requires rapid re-expansion of the circulating intravascular blood volume along with interventions to control ongoing losses. Continuing acute blood loss, with Hb declining to < 10 g/dL, should initiate blood transfusion, preferably as fully cross-matched recently banked (<14 days old) blood. If severe hypovolemia- norepinephrine, vasopressin, or dopamine required Once hemorrhage is controlled and the patient has stabilized, blood transfusions should not be continued unless the Hb is <~7g/dL.', 'role': 'assistant'}]