## Addendum: "Kill him before he heals again" *isn't* a no-brainer in 4e
In 4e, NPCs and monsters are mechanically distinct from PCs. One of the results is that no NPC has more than one healing surge per tier, and very few have any more healing powers than `Second Wind`.
This means that *unless a monster has prior knowledge of the PCs* he has absolutely no in-game reason to expect they'll be able to heal dire wounds repeatedly, or that a particular character will have the ability to grant multiple massive heals to others.