Simon Brown provides an overview of the July 2024 JRCALC Clinical Guidelines Update; includes two new guidelines: Clinical Considerations in Relation to Diversity and Equality, and Conditions Requiring Specific Prehospital Clinical Management. In the Trauma section, abdominal, pelvic, and thoracic trauma have been fully reviewed and updated. Updates have also been made to Head Injury, Electrical Injuries, Tranexamic Acid, Metoclopramide and Sodium Chloride.