I'm just guessing without a full autopsy, but I'd say that Rama here is considerably dead, and the cause probably an explosive carbine round to the head.
In the book "The Ramal Extraction: Cutter's Wars" by Steve Perry, the protagonist makes a grim assumption about a character named Rama. Without conducting a thorough autopsy, he speculates that Rama is likely deceased due to a gunshot wound to the head, caused by an explosive carbine round.
This quote reflects the protagonist's experience and intuition in assessing a violent situation. It also underscores the gravity of the circumstances within the narrative, hinting at the themes of danger and loss that permeate the story.