I hadn't thought about that; in my first scenario, the game would be lost no matter what I did. The only case I can think of where it would matter is if it was a PVP game, and the other player drew some healing spells and thus got a bigger electrum reward at the end, but that's an awfully obscure scenario. It would take 1) a pvp game that 2) ended by death due to shard of bravery and 3) drew the shard player something to increase hp with, like heal, SoD, miracle, stone skin, vampire, black hole, etc that was 4) playable with quanta that turn and not countered by something the opponent had done (silence, sanctuary, etc) and 5) the player wasn't already going to get an EM (exception: SoD/SSkin)
So yeah, it can probably be ignored :p