Introduction:

At "Julián Grimau" Teaching Polyclinic in Arroyo Naranjo municipality, ammonia is a risk of chemical emergency that can affect part of the population that it serves to. Hence, it is necessary for the medical response to these situations to take into account the specificities of the institution and its systemic character.

Objective:

Propose a medical response system for chemical emergency by ammonia in "Julián Grimau" Teaching Polyclinic.

Methods:

A research was carried out on health systems and services, from September 2017 to December 2018, in "Julián Grimau" Teaching Polyclinic. A documentary analysis related to medical actions in chemical emergencies was conducted in primary health care’s level. In addition, the following methods were used: structural-functional systemic for the design of the system, and the key informant for its concretion.

Result:

Practical- theoretical premises were stated and the polyclinic’s response system was designed, in its alarm phase, which assumed two subsystems: the emergency one, formed by the components: reception, special treatment, classification and emergency treatment; and, the assurance one, consisting of human, material and diagnostic components.

Conclusions:

The organizational systemic structure of the medical response to chemical emergencies by ammonia in the "Julián Grimau" Polyclinic is based on its own theoretical-practical premises that determine the institutional holistic structure to establish the process from a systemic-structural-functional approach. Hence, the proposed system for the alarm phase is flexible, objective, participatory, timely, adequate and selective.

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