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This item has an interesting nebulous case.
Once per day, the wearer can speak a command word to transfer some of her life energy into the shawl (up to 10 hit points). If she is wearing the shawl and is reduced to –1 hit points or below the shawl immediately heals her an amount equal to the number of hit points stored in the shawl. This healing cannot prevent the wearer from being killed. The life energy stored in the shawl lasts for 24 hours or until it heals the wearer, whichever comes first. If the shawl is destroyed, the stored life energy is lost.
Dying (Negative Hit Points)
If your hit point total is negative, but not equal to or greater than your Constitution score, you're dying.
A dying character immediately falls unconscious and can take no actions.
A dying character loses 1 hit point every round. This continues until the character dies or becomes stable.
So, which immediate action comes first? Does the character fall unconscious, triggering the shawl, and wake up prone, or does the shawl prevent the character from falling unconscious?
I would say that the shawl is the more special case rule so its "immediately" trumps the other "immediately". So no, you aren't knocked prone or unconscious.