Croissant said: what about when they get there brains scooped out with a spoon?
They don't have brains to be scooped, unless you are talking about the paste core ball thingy, but not every author works with that concept.
Also patchy would be dead before the scooping out of vomiting her filling out of fear, Patchys are very weak and frail, they tend to be the ones who dies the most easily out of psycological trauma, specially if they vomit their filling out of stress.