Last session happened that our Barbarian fell unconscious, with 0 healing surges, and before she could spend her second wind.
The Avenger then made a Heal check to force her spending her second wind.
We decided that she wakes up with 1 hp by an interpretation of these rules:
HealDDI (Wisdom)
[…]
First Aid
Make a Heal check to administer first aid.
First Aid: Standard action.
* DC: Varies depending on the task you’re attempting.
* Use Second Wind: Make a DC 10 Heal check to allow an adjacent character to use his or her second wind without the character having to take an action to do so. The character doesn’t gain the defense bonuses normally granted by second wind.
[…]
and
Healing and DyingDDI
Regain Hit Points: When you are dying and receive healing, you go to 0 hit points and then regain hit points from the healing effect. If the healing effect requires you to spend a healing surge but you have none left, you are restored to 1 hit point.
Become Conscious: As soon as you have a current hit point total that’s higher than 0, you become conscious and are no longer dying. (You are still prone until you take an action to stand up.)
Is the Use Second Wind use of the Heal skill a healing effect eligible for the "regain hit points" part of the "Healing and Dying" rule?
Best Answer
If the barbarian has no healing surges, she cannot use Second Wind. It requires her to spend one, which she does not have. And since the "Regain Hit Points" clause of Healing and Dying specifies that you have none left, this rule would never apply.
Second Wind[DDI] states: