I have a PvP castsequence macro and a PvE one.

As an example: First wave of PvP macro is 4 Grounding Totems and 1 Tremor totem, since those are my top priority in PvP.

I also have some totems bound to buttons for when I want all five to drop a particular totem. Examples would be Magma Totem, Fire Nova Totem and Grounding Totem.