This article will approach the study of the declaratory of sanitary emergency made by the Mayor of Bogota in the Decree 063 of February 5 of 2016, an act issued in order to take measures to prevent and mitigate the effects caused by the overcrowding of emergency services in the Health service Institutions of Bogotá DC. Is the purpose of the investigation to identify the key aspects of this emergency declaration, analyze structural measures to find improvements in access and chances of services within the network of contracted emergency room, in order to replicate as a pilot plan implemented face to other providers of health services in the country. In the introduction the reader will delve into the regulation of sanitary emergency declaration and engagement through manifest urgency modality applicable to the appropriation of public resources as an agile mechanism; the elements that contextualize the situation in question will relate; the methodology, results and finally conclusions of the author regard to problem exposed.