The General points out that his hold on life is slim. The idea is Mars was blackmailing Vivian. He'd cash in the moment that General Sternwood dies. He was smart, he was biding his time with his meal ticket.
Basically Carmen killed Regan when she was having a jealous fit (Because Sean or Rusty in the book didn't like her). Carmen, acting like a little girl, informed Vivian what she did. Between her drinking (and drugs?) she forgot about it or blocked it out. Mars buried the body in an oil sump. So Mars hid the body, and arranged an alibi that Regan ran off with Mrs. Mars.
In the book, Marlowe takes Carmen out back mansion near some old oil derricks, to teach her how to shoot. She has another jealous fit (She knows Marlowe loves Vivian not her) takes a series of shots at Marlowe in anger, but the gun is filled with blanks. She flips out. Marlowe explains to Vivian that Carmen needs to be taken somewhere to get treated/professional help.
The title of the story comes from his closing. "Where does it matter where you're buried when you're sleeping the big sleep."
The Big Sleep is basically death.
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