Under what pain condition should a victim bypass Urgent Care and proceed directly to the Emergency Department?

If the pain is excruciating or debilitating enough to cause shock or fainting

Pain intensity serves as a key indicator of the venom load relative to the body's ability to cope locally. While Urgent Care centers are equipped to handle moderate pain that might require prescription-strength relief after initial first aid measures fail, pain that reaches an extreme level signifies a massive venom load or an overwhelming systemic effect. Pain described as excruciating or debilitating to the point where it induces shock or causes the individual to faint indicates that the body's regulatory mechanisms are severely stressed, requiring the comprehensive resources, monitoring capabilities, and stronger analgesic interventions exclusively available in the Emergency Department.