[quote=@ineffable]
Erm wait what exactly happened to her?
Am I taking this literally? 
[/quote]


It's a joke. Basically Sara's lost a lot of blood via bloody nose and now she's dead. Bloody nose of course being the anime thing for titillation. 

Basically she was exposed to a lot of masochism very quickly and now in front of other people so the blood flew out of her and now she's dead. 

Is just jokes.