Introduction:

Care to poisoned people during chemical emergencies has a systemic nature in hospital institutions, so it is necessary to organize areas that allow mass reception.

Objective:

To determine the structure of the areas for the mass reception of poisoned people by chemical emergencies in hospitals.

Method:

A research was carried out in health systems and services in the period from 2005 to 2017. Bibliometric and infometric sources were reviewed and analyzed and key informants consulted.

Results:

Under toxicological principles, in chemical emergencies, it is proposed to organize the hospital into twelve fundamental areas: reception, special treatment and decontamination, classification, emergency treatment, hospitalization of severe poisoned, hospitalization of mild poisoned, assurance of diagnosis, medical material assurance, toxicological information, toxicological surveillance, asymptomatic patients, and deceased.

Conclusions:

The organizational structure of the hospital in the mass reception of people poisoned by chemical emergencies differs from other types of events. It has a systemic nature. Its dynamics depends on toxicological principles. The type of toxic substance and the way of entry determine the presence or not of a special area of treatment and decontamination. The reception area fulfills the functions of reception and classification but the latter determines the type of decontamination. In the classification area, the priority of medical attention is defined. The areas of emergency treatment, hospitalization, and the area of material medical assurance are created in departments and services endowed with the resources that allow their operation. The proposal is characterized by being flexible, participative, objective and reproducible.

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