Hate to suggest the parts cannon approach, might be more cost effective to pick a bunch of spare parts from the junkyard and swap them out one by one. I just feel like if your tach signal just totally goes dead and the truck dies and you've also got these other seemingly related issues, there is at least something going on in the coil wiring or the coil itself.... or the distributor... or the ignition module.
I'm not sure how 92 factory tachs are set up but on first gen trucks they are only accurate for V6 engines unless you add a tach signal converter box for 4 or 8 cylinders... I never did that with mine and it's nowhere near accurate. 3-4000 actual RPM will top out the gauge.