In that case I'll have to add a different number 6.

There are two different ideas.
5) The draining of a healing surge from a character with 0 healing surges remaining results in 'negative healing surges' which have consequences to recovery after the encounter is over: I.e. when you next rest you have temporarily lost a certain number of potential healing surges. As in this post: http://www.enworld.org/forum/4548152-post10.html
6) The draining of a healing surge from a character with 0 healing surges results in death.
Carl
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