The unexpected death of musician Tu Ying last year on a treadmill at the Four Points by Sheraton Guangzhou Baiyun International Convention Center Yuexiu Hotel — a Marriott-affiliated property — has reignited debate over emergency preparedness in hotel fitness centers, where automated external defibrillator (AED) installation remains encouraged rather than mandatory in many jurisdictions.
Tu Ying’s family, together with Rolling Stone (Beijing) Culture Communication Co., Ltd., issued a joint statement detailing seven alleged failures in the hotel’s response. These included inadequate gym floor cushioning, the absence of an AED, the first staff member on scene being an intern, hotel personnel allegedly taking photos instead of providing aid, and a lack of basic first-aid measures such as bleeding control. The family called on Marriott and the hotel to upgrade safety equipment, issue an apology, and urged the broader industry to review potential hazards and improve emergency protocols.
In a statement on June 30, the Four Points by Sheraton property confirmed the incident occurred in November 2025. The hotel said its staff activated emergency procedures upon discovering the situation, contacted medical emergency services, and cooperated with on-site handling and hospital transfer. It added that it has maintained communication with the family and proposed condolence arrangements. The hotel emphasized that guest safety remains its “most important bottom line” and that it has conducted internal reviews of facilities, emergency equipment, response procedures, and staff training.
Regulatory Gray Area for Hotel Gyms
Hotel industry insiders note that even in mature markets such as Europe and the United States, there is no unified mandate requiring hotels to equip AEDs or employ dedicated emergency medical personnel. In Guangzhou, the Guangzhou Social Emergency Medical Services Regulation mandates AEDs in airports, railway stations, metro stations, stadiums, and large shopping malls — but hotels are only encouraged, not required, to have them.
“Equipping hotels with first-aid devices and trained personnel would increase costs, including equipment procurement, salaries, and training expenses,” said a hotel manager with over a decade of experience in the high-end hospitality sector. “At the same time, the probability of serious incidents in hotel gyms is relatively low. Hotel operating costs are already high, while overall occupancy rates and room rates have declined in recent years amid intensifying market competition. Under such circumstances, most hotels are unlikely to proactively install AEDs or assign dedicated emergency staff in gyms, mainly to control costs.”
The incident comes as the travel industry grapples with broader safety concerns. Recent events such as power bank fire incidents doubling have prompted airlines to tighten cabin baggage rules, while Asia Pacific tourism bodies have revised safety protocols after a string of disasters. The hotel sector, however, has been slower to address emergency medical preparedness in fitness areas.
Marriott International, which operates the Four Points by Sheraton brand, has not issued a corporate-wide policy on AEDs in gyms. The company’s luxury properties, such as the JW Marriott Khao Lak and the Marriott Marquis Queen's Park in Bangkok, often feature extensive wellness facilities, but safety equipment standards vary by location and local regulations.
For travel professionals — from hoteliers to tour operators and travel agents — the case underscores a critical gap in guest safety. As fitness tourism grows and hotel gyms become a key amenity for business and leisure travelers alike, the absence of mandatory AEDs and trained responders could expose properties to liability and reputational risk. The incident also raises questions for the MICE sector, where large groups often use hotel fitness centers, and for luxury hospitality, where guests expect comprehensive safety measures.
Industry bodies and regulators may face increasing pressure to standardize emergency preparedness in hotel gyms. Until then, the onus remains on individual properties and chains to voluntarily invest in life-saving equipment and training — a cost that, as the Guangzhou case shows, can have far-reaching consequences when absent.


