Rydberg blockade physics in optically dense atomic media under the conditions of electromagnetically induced transparency (EIT) leads to strong dissipative interactions between single photons. We introduce a new approach to analyzing this challenging many-body problem in the limit of a large optical depth per blockade radius. In our approach, we separate the single-polariton EIT physics from Rydberg-Rydberg interactions in a serialized manner while using a hard-sphere model for the latter, thus capturing the dualistic particle-wave nature of light as it manifests itself in dissipative Rydberg-EIT media. Using this approach, we analyze the saturation behavior of the transmission through one-dimensional Rydberg-EIT media in the regime of nonperturbative dissipative interactions relevant to current experiments. Our model is able to capture the many-body dynamics of bright, coherent pulses through these strongly interacting media. We compare our model with available experimental data in this regime and find good agreement. We also analyze a scheme for generating regular trains of single photons from continuous-wave input and derive its scaling behavior in the presence of imperfect single-photon EIT.