Shotgun hit to back

[Sdiver]

23 year old found face down on the street. Initially semi-responsive, awakens more when you speak to him. States he was walking down the street when a car drove by, he heard a loud “Bang”, felt a pain in his back and woke up on the ground. Complaining of severe pain to the back, some numbness in his arms and tingling in his legs. Mild SOB. Police are On Scene, FD Rescue has arrived prior to you and placed him on a NRB at 15L. SCENE IS SECURE!!!

What you see is what you have.

Level 1 trauma Center is 35 min away. Helo has a 12 min Lift time and 21 min Flight Time.

Pulse: 127
BP: 78/32
Spo2 91% on 15 o2 via NRB by FD
RR 11 Shallow, unable to really hear fields well
GCS 13 at present.
HEENT- Abrasions to forehead, hematoma over left eye.
Pupils- Pearl, 2mm slow to react
Neck- Denies pain, no obvious trauma
Chest- Front = CLR
Lungs- Difficult to hear, poss diminished bilat
Back- AS you see it, MOD-Severe bleeding
Pel- CLR
EXTREM- Small penetrating wound to backsides of upper
Neuro- Some numbness to arms grips equal but weak, tingling to legs with good movement

What is your treatment going to be?
Any special concerns or precautions?
What will your transport decision be?