They're somewhat mixed. I have buttons for various combinations.
The primary drops I use are:
water: 4x mana spring or 4x healing stream
earth: tremor, strength of earth, earthbind, stoneskin
air: nature resistance, wrath of air, windfury (and need to add 1 grounding to this)
fire: totem of wrath + 3x searing (or ToW + 3x magma)
I also have a separate key to drop 4x grounding for magic based fights, and some other one-off combinations like frost resistance, poison cleansing, etc
On the UK vid I was going for the achievement to not shatter any frost tombs so I didn't drop any magma totems or fire elemental totems, but typically I would drop those throughout the fight to kill the frost tombs/adds.
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