I have them separate - it's 1 extra keystroke (1 key to do call of elements, 4 keystrokes to stagger vs. 4 keystrokes to stagger call of elements) in PVE if it's a fight with fears or only 1 keystroke (call of elements) if there isn't a chance of fear.
For PVP, having another call of ___ on stagger is the way to go to handle both cleansing and tremor, I'd think.
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