TrygFonden
Funding for the CARAMBA project and its community-based cardiac arrest intervention.
Research
A real-world clinical trial
CARAMBA investigates whether a targeted intervention in public housing communities can increase early defibrillation and improve survival after out-of-hospital cardiac arrest.
Study design
Cluster-randomised trial
The trial compares residential communities with and without the complete CARAMBA intervention.
Study design
From community to outcome
- 01
13 public housing communities are included in the study
- 02
Intervention areas are compared with control areas
- 03
The intervention is tested in a real-world setting
- 04
Outcomes are assessed using the Danish Cardiac Arrest Registry
Background
Why this matters
Although survival after out-of-hospital cardiac arrest has improved in Denmark, most cardiac arrests still occur in private homes, where early defibrillation remains rare.
CARAMBA therefore focuses on residential communities where improved defibrillator access, local training and volunteer responder recruitment can make a tangible difference.
Each year in Denmark
5,000+
out-of-hospital cardiac arrests
Where it happens
75%
occur in private homes
Early defibrillation
~5%
receive bystander defibrillation in private homes
Study structure
What does CARAMBA examine?
The study combines clinical outcomes with a practical intervention designed for local implementation and long-term anchoring.
01
Primary outcome
Defibrillation before ambulance arrival
Defibrillation performed by a resident or another bystander before the ambulance arrives.
02
Secondary outcome
Survival after 30 days
The study also examines survival 30 days after the cardiac arrest.
03
The intervention
Three practical components
Strategic defibrillator deployment, hands-on resuscitation training and recruitment of local volunteer responders.
04
Implementation
Adapted to each community
The intervention is implemented with a focus on local anchoring, realistic operation and practical everyday use.
From study to practice
Local action is part of the research
CARAMBA combines research, practical training and local implementation. The project works with ambassadors, instructors and residential communities to strengthen cardiac arrest response.
- 01
Local ambassadors
Ambassadors in the residential communities help create visibility, participation and local ownership.
- 02
CPR instructors
Local instructors support hands-on training in resuscitation and defibrillator use.
- 03
QCPR training
Training with feedback equipment makes the teaching concrete, measurable and action-oriented.
Funding and collaboration
Strong partners behind the project
CARAMBA is funded by TrygFonden and the Independent Research Fund Denmark. Project partners contribute training, equipment, research expertise, local anchoring, ambulance support and defibrillators.
Funding
Novo Nordisk Fonden
Funding for the CARAMBA project and its community-based cardiac arrest intervention.
Danmarks Frie Forskningsfond
Research funding supporting the scientific development and evaluation of CARAMBA.
Collaborators
Hjerteforeningen
Collaboration around Giv Liv courses and resuscitation training.
Laerdal
Loan of training equipment, including QCPR equipment for hands-on courses.
Statens Institut for Folkesundhed
Research collaboration and public health perspective.
Region Hovedstadens Akutberedskab
Project collaboration and loan of ambulance for local activities.
ZOLL Medical
Previous donation of AEDs used in the project context.
AB
Almene boligområder
Local housing communities, including FSB, KAB and AAB, are essential partners in anchoring and implementing the intervention.