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501: Bullets To Burning Buildings. With Army Combat Medic Rob Black

By Jocko DEFCOR Network

In this episode of the Jocko Podcast, Army combat medic Rob Black shares his experiences serving in Ramadi during the Iraq invasion. Black describes his journey from high school graduate to military medic, his time providing support to Seal Team 3's Task Unit Bruiser, and the challenges his unit faced in a territory largely controlled by enemy forces.

The conversation covers Black's transition back to civilian life and his struggles with PTSD, depression, and substance abuse following his deployment. Black discusses how he sought professional help and found ways to manage his mental health, and explains his current work as a firefighter and paramedic, where he applies his military medical training while teaching the next generation of emergency responders at a local community college.

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501: Bullets To Burning Buildings. With Army Combat Medic Rob Black

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501: Bullets To Burning Buildings. With Army Combat Medic Rob Black

1-Page Summary

Rob Black's Role as Army Medic in Ramadi

After graduating high school in 2003, Rob Black joined the Army as a medic, inspired by "Saving Private Ryan" and conversations with his Vietnam veteran uncle. Following intensive training at Fort Sam Houston, he was assigned to a reconnaissance troop in Ramadi during the Iraq invasion.

Combat Experiences and Military Service

In Ramadi, Rob's troop operated on the city's edges, where enemy forces controlled roughly 75% of the territory. They faced daily mortar attacks and intense combat situations. Rob recalls particularly tragic moments, including the loss of Sergeants Story and Best to an IED near the university. His unit also provided crucial support to Seal Team 3's Task Unit Bruiser, serving as overwatch and quick reaction forces during their missions.

Psychological and Emotional Impact

Rob describes the profound psychological impact of combat, noting that approximately one in three soldiers in his unit received Purple Hearts. The constant exposure to danger and loss of fellow soldiers led to significant mental health challenges. Upon returning to civilian life, Rob struggled with the abrupt transition, which occurred just six weeks after leaving the combat zone. He initially found work with an ambulance service, using his EMT credentials from his military training.

Mental Health Journey and Recovery

Rob's post-deployment struggles included severe PTSD, depression, and suicidal thoughts. After attempting to self-medicate with alcohol, Rob sought professional help following a serious overdose attempt. He underwent 30 days of inpatient treatment in Utah, where he participated in various therapies, including EMDR. Today, Rob manages his mental health through therapy, meditation, and medication, while actively working to destigmatize mental health issues among veterans and first responders.

Current Role in Fire Service

Now serving as an engineer in the Moreno Valley fire service, Rob applies his military medical training to his work as a firefighter and paramedic. He champions aggressive, proactive firefighting tactics and serves as an adjunct faculty member at a local community college, where he teaches aspiring firefighters and paramedics. Rob combines his practical experience with classroom instruction to mentor the next generation of emergency responders.

1-Page Summary

Additional Materials

Clarifications

  • A reconnaissance troop in Ramadi was a specialized military unit tasked with gathering information about enemy movements and activities in the city. These troops often operated on the outskirts of the city, conducting surveillance and intelligence-gathering missions to support larger military operations. Their role was crucial in providing valuable insights to commanders and helping to shape strategic decisions in the conflict zone. Reconnaissance troops played a vital role in identifying threats, assessing terrain, and providing early warning to enhance the overall effectiveness of military operations in challenging urban environments like Ramadi.
  • An IED stands for Improvised Explosive Device. It is a homemade bomb constructed and deployed in unconventional ways. These devices are commonly used in asymmetric warfare by insurgent groups to target military personnel and civilians. IEDs are designed to cause destruction and casualties through explosive force. They pose a significant threat due to their ability to be easily concealed and remotely detonated.
  • The Purple Heart is a prestigious military decoration awarded to U.S. service members wounded or killed in action. It has a long history, dating back to the Revolutionary War, and is a symbol of sacrifice and bravery in the armed forces. Recipients of the Purple Heart are honored for their courage and dedication to their country. The award holds significant meaning and is a testament to the sacrifices made by those who serve in the military.
  • EMDR therapy, or Eye Movement Desensitization and Reprocessing therapy, is a type of psychotherapy that helps individuals process traumatic memories and experiences. It involves recalling distressing events while focusing on external stimuli like hand movements or sounds to facilitate processing. EMDR aims to reduce the emotional impact of traumatic memories and promote healing by helping individuals reprocess these memories in a less distressing way. This therapy is often used to treat conditions like PTSD, anxiety, and depression.
  • Task Unit Bruiser was a Navy SEAL team led by Jocko Willink and Chris Kyle during the Iraq War. They were known for their aggressive and effective combat tactics, working closely with other military units to achieve mission success in challenging environments like Ramadi. The unit's experiences and strategies have been detailed in books and leadership training programs, highlighting their contributions to the overall mission in Iraq.
  • The Moreno Valley fire service is a department responsible for providing fire protection and emergency medical services in Moreno Valley, California. It employs firefighters, paramedics, and other emergency responders to ensure public safety in the city. The department responds to various emergencies, including fires, medical incidents, accidents, and natural disasters. Rob Black currently serves as an engineer in the Moreno Valley fire service, utilizing his military medical training in his role as a firefighter and paramedic.
  • Aggressive, proactive firefighting tactics involve swiftly and decisively attacking fires at their source to prevent rapid spread and minimize damage. This approach prioritizes early and direct intervention, often involving entering burning structures to extinguish fires quickly. It aims to control the fire's progression before it escalates, emphasizing rapid response and assertive firefighting strategies. These tactics require well-trained personnel, effective coordination, and a focus on containing and extinguishing fires efficiently.

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501: Bullets To Burning Buildings. With Army Combat Medic Rob Black

Rob Black's Role as Army Medic in Ramadi

Rob Black's journey from a normal life in Orange County to a high-stakes role as an Army medic in the midst of the Iraq War's fierce battles is one of transformation and intense experiences.

Rob's Path to Army Medic in Reconnaissance Troop

Inspired by Saving Private Ryan, Rob Entered the Medical Field After Growing Up In Orange County

Rob Black graduated from high school in June of 2003, around the time the Iraq invasion began in March of that year. Influenced by talks with his uncle, a Vietnam War veteran who suggested it was Rob's time to serve, and inspired by wartime films like "Saving Private Ryan," Rob forwent his mother's offer to pay for college and instead joined the military.

Rob Joined the Army In 2003 As a Medic and Was Assigned To a Reconnaissance Troop in Ramadi During the Iraq Invasion

After deciding to join the Army only two weeks after his high school graduation, Rob became a medic following 16 weeks of intensive training at Fort Sam Houston, Texas. The first half of his training was focused on meeting national EMT standards, and the second half turned him into a "trauma machine" for military medicine. Later, he would find himself in Friedberg, Germany, assigned to the 501st Forward Support Battalion before deployment because the brigade reconnaissance troop he would join did not yet have a medic.

Rob's Experiences as a Medic in Ramadi Battles

Rob's transition into the reconnaissance troop was challenging as he needed to quickly adapt to the higher discipline and soldiering skills required. Despite starting with limited knowledge of the role of a Cavalry scout, he learned on the job and through training, becoming an integral team member. In the field, Rob experienced the fierce realities of war in Ramadi, where his troop was stationed on the edges of a city largely controlled by the enemy. Daily mortar attacks were common, and the threat of violence was a constant.

Troop Under Mortar Attacks, Enemy Holds 75% of City

He recounts harrowing instances, such as a nighttime operation when Soldier Dietrich was shot. Rob's response required quick action and clear decision-making under pressure. As they provided aid in the hostile environment of a nearly enemy-occupied Ramadi, the reality of the situation was stark—Rob's brigade's hold was limited to the outskirts of the city, where missions to check arms trafficking were conducted amidst sporadic mortar attacks.

Rob Witnessed the Loss of Soldiers, Including Sergeants Story and Best

A particularly tragic moment unfolded near the university in Ramadi when White Platoon was hit by an IED, which resulted in the loss of Sergeant Story and Sergeant Best. In a poignant description of the aftermath, Rob details retrieving bodies and providing immediate medical attention amidst chaos and danger.

Rob's Role in Seal Team Operations in Ramadi

During his deployment, Rob's troop not only executed their specialized conventional roles but als ...

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Rob Black's Role as Army Medic in Ramadi

Additional Materials

Actionables

  • Explore the impact of mentorship by finding a local veteran's organization and offering to volunteer or simply listen to their stories. By engaging with veterans, you can gain insights into the discipline and leadership qualities that Rob admired in Seal Team 3, and consider how to incorporate these qualities into your own life.
  • Develop resilience by starting a "discipline challenge" with friends or family, where you commit to a new, challenging activity for a set period, such as learning a new language or a fitness regimen. This mirrors the adaptability and discipline Rob had to develop quickly in a reconnaissance troop and can help you understand the value of these skills in everyday life.
  • Reflec ...

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501: Bullets To Burning Buildings. With Army Combat Medic Rob Black

Psychological and Emotional Impact of Combat and Loss

Rob Black recounts his harrowing experiences in combat and the profound mental health issues that followed, including survivor's guilt and the challenges of returning to civilian life.

The Stress and Trauma of Daily Combat Experiences

Rob Black's account of combat paints a vivid picture of the constant dangers faced by his unit. He recalled moments of sheer terror, such as when he was shot at while standing on a wall at COP Grant. The experience of being in a firefight was life-altering, and while at first the encounters were shocking, he later became accustomed to the sounds of enemy fire and could gauge the severity of the threat. Combat situations often felt like "a shit show," as the enemy would shoot from hidden locations and immediately flee, making it hard to identify and counter the threat.

High Casualty Rate Impacts Rob's Unit Emotionally

The emotional toll on Rob's unit escalated with each mission, especially during an extension period after they had already faced significant combat and lost friends. With a high casualty rate, where he believes one out of every three soldiers received a Purple Heart, every mission became more burdensome, reinforcing the persistent stress and trauma of daily combat experiences. The environment was brutal, reinforcing the notion that nothing can fully prepare someone for the harsh reality of watching friends die in combat.

Rob's Battle With Survivor's Guilt and Loss

Rob's personal accounts of combat move beyond the physical dangers to the emotional and psychological burdens carried after action. The survivor's guilt manifested in various ways. He questioned his own actions and what he could have done differently to detect signs of the IED that took the lives of his friends. Reflecting on his last interaction with Sergeant Quick and pondering why he couldn't save others like Dietrich brought immense emotional strain. Rob experiences a cycle of self-loathing, feeling the toxic impact of constantly questioning if different actions could have saved his fellow soldiers.

The weight of these losses leads Rob to question his place in the war and his overall purpose, affecting his mental health profoundly. He expresses feelings of wishing he had died instead of his comrades and battles with sadness and depression when thinking of t ...

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Psychological and Emotional Impact of Combat and Loss

Additional Materials

Actionables

  • You can foster resilience by journaling your experiences, focusing on moments of challenge and how you overcame them. Writing down your thoughts and feelings can help you process difficult experiences, similar to how discussing emotions can aid in coping. For example, if you've faced a tough situation at work, write about the stress it caused, the steps you took to handle it, and how you felt afterward.
  • Develop a transition ritual to help adapt to new environments or life changes. This could be a set of actions you perform to mentally prepare for the shift from one role to another, akin to transitioning from military to civilian life. For instance, if you're coming home from a stressful job, you might change clothes, take a few deep breaths, and spend a few minutes in silence to signal to your brain that it's time to switch gears.
  • Engage in community se ...

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501: Bullets To Burning Buildings. With Army Combat Medic Rob Black

Rob's Battle With Ptsd, Depression, and Suicidal Thoughts Post-Return

The recounting of Rob Black’s experiences post-deployment uncovers his journey through PTSD, depression, suicidal thoughts, and the eventual path toward healing and advocacy.

Ptsd and Mental Health Issues Post Rob's Deployment

Rob Black experienced significant mental health challenges upon his return from deployment. He grappled with PTSD symptoms, including hypervigilance, flashbacks, and insomnia. An intense reaction to the smell of a burning vehicle would catapult him back to Iraq, a clear indication of PTSD flashbacks triggered by sensory stimuli. Black shared that sometimes he wakes up sad, malaise that's a part of his depression, spiraling into self-loathing.

Rob also commented on the mental and emotional difficulties faced by combat veterans as they try to convey the gravity of their experiences, and Jocko Willink, along with Rob, understood the struggle to communicate these intense experiences.

Rob's Journey To Seeking Professional Help and Treatment

Initially, Rob Black attempted to manage his mental turmoil through alcohol, drinking excessively to blackout and escape his self-loathing. However, his wife's intervention and the realities of his condition led to his realization that professional help was necessary. After wrestling with the decision, fearing the imposition of his absence on his family, and confronting his own reluctance to ask for assistance, he acknowledges a need for treatment after a serious incident involving an overdose attempt with gaba pentin, [restricted term], and vodka.

Upon undergoing 30 days of inpatient treatment in Utah, Rob was involved in therapies, including EMDR, which helped him address childhood trauma as well as abandonment issues beyond his experiences in Iraq. His wife joined him for therapeutic sessions during his treatment, and together they strengthened their relationship through open communication.

Post-treatment, Rob confronts his mental health challenges head-on, learning to question negative thoughts and check the reality behind them. He identifies Therapy as vital in teaching him to diminish the validity of his self-critical thoughts.

Rob's Mental Health Support Efforts

Following his recovery, Rob embraces therapy, meditation, and effective coping mechanisms to manage his mental health. He uses meditation, such as listening to Native American flutes, to ground himself and challenge his negative thoughts. Rob sees a therapist regularly and uses prescribed medication responsibly, communicating openly with doctors about his "down days."

Understanding t ...

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Rob's Battle With Ptsd, Depression, and Suicidal Thoughts Post-Return

Additional Materials

Actionables

  • You can create a personalized sensory toolkit to manage stress and potential triggers. Fill a small bag with items that engage your senses in a positive way, such as a stress ball for touch, essential oils for smell, and soothing music or nature sounds for hearing. When you feel overwhelmed or sense a trigger, use these items to ground yourself and redirect your focus.
  • Develop a "mental health first aid" plan for yourself or to share with others. Just like a physical first aid kit, this plan would include a list of steps to take when feeling emotionally overwhelmed, such as deep breathing exercises, a list of supportive contacts to reach out to, and reminders of past successful coping strategies. Keep this plan easily accessible, like in your wallet or on your phone.
  • ...

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501: Bullets To Burning Buildings. With Army Combat Medic Rob Black

Rob's Fire Service Work and Mentoring of Younger First Responders

Rob Black, a former army medic, now serves as an engineer in the Moreno Valley fire service, where he applies his medical and operational skills, mentors new recruits, and teaches aspiring firefighters and paramedics.

Rob's Transition to Firefighting and Paramedic Work

After his service in the army, Rob Black became a firefighter and a paramedic in California. He found his medical training from the military beneficial for trauma-related aspects on the field. However, he had to learn how to manage non-trauma medical issues, such as chest pains and diabetic seizures. He appreciated the randomness of his duties, which he likens to the unpredictability he enjoyed in firefighting. Rob also got into the “dorky stuff” like paramedicine, which he still loves.

Rob Applied Medical Skills in Fire Service

Not only did Rob adapt his medical skills to firefighting, but he also thrived on the structured yet dynamic work schedule, which seems to be undergoing evolution for better work-life balance. His ability to cope with an unpredictable schedule aids him in his position, where duties vary widely.

Rob's Mentorship in Fire Department Leadership and Training

He is organized and enjoys creating training materials, which he uses in leading training sessions for new firefighters. Rob also shares his enthusiasm and knowledge with those aspiring to enter the fire and emergency medical services, indicating his mentorship role.

Rob's Dedication to a "Search and Rescue" Culture

Rob Black champions aggressive, proactive firefighting and emergency response, favoring an aggressive search-first tactic upon arriving at structure fires. He fosters a culture of proactive firefighting, which includes tactics like horizontal ventilation and a coordinated attack, stressing the need for teamwork and rapid, coordinated action.

Rob Champions Aggressive, Proactive Firefighting and Emergency Response

Rob's firefighting philosophy emphasizes aggressive action, which he applies in both firefighting and paramedicine. He acknowledges that departments have shifted from a reactive to a more proactive approach, which he supports fully. In his view, firefighters should prioritize victim rescue and embody a search-first mentality, aggressively tackling fires while maintaining coordination and communication.

Rob Emphasizes Rapid, Coordinated Action in Firefighters

Rob encourages interior attacks and efficient fire management tactics. He finds the constant demand for quick, coordinated efforts to be a fulfilling aspect of his job. He notes that the schedule can be challenging, but believes in the importance of a cohesive team response to ...

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Rob's Fire Service Work and Mentoring of Younger First Responders

Additional Materials

Actionables

  • You can volunteer at a local fire station to get a taste of the unpredictable nature of emergency services. Even without specialized skills, many fire departments have programs that allow civilians to assist with non-emergency tasks, giving you exposure to the environment and helping you understand the value of readiness and adaptability.
  • Start a peer learning group to share knowledge on emergency preparedness. Gather friends or community members to discuss and practice basic first aid, fire safety, and emergency response techniques, fostering teamwork and rapid action skills that are crucial in emergency situations.
  • Create a personal devel ...

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