If a werewolf ever suffers a wound that exceeds his Health dots (it would cause him to go unconscious or start bleeding to death), and the attack could trigger Death Rage (say, it’s an exceptional success that inflicts five or more points of damage), the roll to resist Kuruth is made before the character is decreed unconscious or down. The timing of events here is important, because a character entering Death Rage gets four extra Health dots by virtue of assuming Gauru form. Those extra Health might allow him to remain conscious where he would have collapsed in another form. If the Resolve + Composure roll fails, the character enters Death Rage and assumes Gauru, potentially gaining more Health dots if he wasn’t already in Gauru form. These extra dots might be enough to keep the character conscious. If the Resolve + Composure roll succeeds, the character remains under control, remains in his current form and doesn’t go into Kuruth.
So does the character get 4 health dots even if they were already in Gauru form? that doesn't make sense but it seems like it might read that way.